Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.41 / $95.41 / $95.41	Facility		$95.41	$95.41	$95.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $95.41 / $106.80	Professional		$95.41	$95.41	$106.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.10 / $242.56 / $256.27	Facility		$208.10	$242.56	$256.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $81.09 / $89.21	Professional		$75.28	$81.09	$89.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.96 / $101.72 / $101.72	Facility		$95.96	$101.72	$101.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $270.57	Professional		$101.72	$101.72	$270.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.41 / $167.11 / $297.63	Facility		$95.41	$167.11	$297.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.65 / $180.50 / $180.50	Professional		$136.65	$180.50	$180.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $141.50 / $227.30	Professional		$141.50	$141.50	$227.30
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $132.24	Professional		$101.72	$101.72	$132.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $229.98 / $229.98 / $515.16	Facility		$229.98	$229.98	$515.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $515.16 / $515.16 / $515.16	Professional		$515.16	$515.16	$515.16