Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.04 / $129.04 / $129.04	Facility		$129.04	$129.04	$129.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $129.04 / $129.04	Professional		$89.04	$129.04	$129.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.60 / $261.44 / $276.11	Facility		$218.60	$261.44	$276.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $110.53 / $117.90	Professional		$102.60	$110.53	$117.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $60.12	Professional		$60.12	$60.12	$60.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.19 / $148.40 / $247.92	Facility		$98.19	$148.40	$247.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.18 / $131.18 / $252.41	Professional		$131.18	$131.18	$252.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $162.35 / $252.20	Professional		$143.91	$162.35	$252.20
United Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $70.91 / $115.34	Professional		$55.72	$70.91	$115.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $247.58 / $299.16 / $700.01	Facility		$247.58	$299.16	$700.01
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,105.28 / $1,346.88 / $1,346.88	Professional		$1,105.28	$1,346.88	$1,346.88