Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $162.18	Professional		$138.04	$138.04	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $144.54 / $151.36	Facility		$125.89	$144.54	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $162.18	Professional		$89.13	$89.13	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $154.88	Professional		$138.04	$138.04	$154.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $165.96 / $239.88	Facility		$138.04	$165.96	$239.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $194.98 / $245.47	Professional		$0.60	$194.98	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $208.93 / $234.42	Facility		$128.82	$208.93	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $128.82 / $302.00	Professional		$125.89	$128.82	$302.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29