Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.12 / $138.12 / $138.12	Facility		$138.12	$138.12	$138.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $138.12 / $138.49	Professional		$131.90	$138.12	$138.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $324.20 / $324.20 / $324.20	Facility		$324.20	$324.20	$324.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.01 / $100.19 / $110.21	Professional		$93.01	$100.19	$110.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.43 / $131.90 / $131.90	Facility		$124.43	$131.90	$131.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $450.00	Professional		$131.90	$131.90	$450.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.12 / $256.45 / $495.00	Facility		$138.12	$256.45	$495.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $191.94 / $333.74 / $333.74	Professional		$191.94	$333.74	$333.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $201.10 / $201.10 / $201.10	Professional		$201.10	$201.10	$201.10
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $171.47	Professional		$131.90	$131.90	$171.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $382.50 / $382.50 / $637.37	Facility		$382.50	$382.50	$637.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,287.69 / $2,287.69 / $2,287.69	Professional		$2,287.69	$2,287.69	$2,287.69