Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $128.82	Professional		$72.44	$102.33	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $269.15 / $295.12	Facility		$218.78	$269.15	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $112.20 / $120.23	Professional		$109.65	$112.20	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $151.36 / $257.04	Facility		$97.72	$151.36	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $151.36 / $199.53	Professional		$144.54	$151.36	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $60.26 / $151.36	Facility		$56.23	$60.26	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $102.33	Professional		$52.48	$70.79	$102.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,348.96	Professional		$1,096.48	$1,096.48	$1,348.96