Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $130.06	Facility		$85.96	$85.96	$130.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $85.96 / $85.96	Professional		$82.93	$85.96	$85.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.95 / $94.95 / $188.00	Facility		$94.95	$94.95	$188.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.43 / $96.07 / $122.64	Professional		$95.43	$96.07	$122.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $101.13	Professional		$85.96	$85.96	$101.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $91.60 / $137.54	Facility		$85.96	$91.60	$137.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $91.60 / $92.09	Professional		$91.60	$91.60	$92.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $173.50 / $238.90	Professional		$99.20	$173.50	$238.90
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $177.41	Professional		$136.47	$136.47	$177.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $101.13 / $157.69 / $202.26	Facility		$101.13	$157.69	$202.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $844.00 / $844.00 / $844.00	Professional		$844.00	$844.00	$844.00