Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.24 / $95.24 / $95.24	Facility		$95.24	$95.24	$95.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $95.24 / $112.32	Professional		$95.24	$95.24	$112.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $26.28 / $28.91	Professional		$24.39	$26.28	$28.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $106.97 / $106.97	Facility		$100.91	$106.97	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $112.05	Professional		$106.97	$106.97	$112.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.18 / $106.45 / $123.26	Facility		$59.18	$106.45	$123.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $106.45 / $106.45	Professional		$106.45	$106.45	$106.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $91.00 / $91.00	Professional		$91.00	$91.00	$91.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $139.06	Professional		$106.97	$106.97	$139.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $120.66 / $142.30 / $171.56	Facility		$120.66	$142.30	$171.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $268.45 / $268.45 / $504.23	Professional		$268.45	$268.45	$504.23