Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $229.50	Facility		$229.50	$229.50	$229.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $229.50 / $229.50	Professional		$123.80	$229.50	$229.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.16 / $88.51 / $97.36	Professional		$82.16	$88.51	$97.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.79 / $123.80 / $123.80	Facility		$116.79	$123.80	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $229.50	Professional		$123.80	$123.80	$229.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.56 / $250.33 / $297.00	Facility		$148.56	$250.33	$297.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $250.33 / $250.33 / $250.33	Professional		$250.33	$250.33	$250.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.40 / $177.40 / $177.40	Professional		$177.40	$177.40	$177.40
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $163.41	Professional		$123.80	$123.80	$163.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $263.50 / $562.96	Facility		$229.50	$263.50	$562.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,125.88 / $3,125.88 / $3,125.88	Professional		$3,125.88	$3,125.88	$3,125.88