Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.03 / $200.03 / $200.03	Facility		$200.03	$200.03	$200.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $200.03 / $200.03	Professional		$98.11	$200.03	$200.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.92 / $71.41	Professional		$60.26	$64.92	$71.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.55 / $98.11 / $98.11	Facility		$92.55	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $200.03	Professional		$98.11	$98.11	$200.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.27 / $204.85 / $310.64	Facility		$134.27	$204.85	$310.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.85 / $204.85 / $204.85	Professional		$204.85	$204.85	$204.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $141.00 / $141.00	Professional		$141.00	$141.00	$141.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $127.54	Professional		$98.11	$98.11	$127.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $240.04 / $240.04 / $413.10	Facility		$240.04	$240.04	$413.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $635.40 / $635.40 / $1,270.80	Professional		$635.40	$635.40	$1,270.80