Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $66.07 / $151.36	Professional		$64.57	$66.07	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $281.84	Facility		$125.89	$125.89	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $89.13 / $95.50	Professional		$44.67	$89.13	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $93.33	Professional		$66.07	$66.07	$93.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $151.36 / $199.53	Facility		$66.07	$151.36	$199.53
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 $64.57 / $107.15 / $120.23	Facility		$64.57	$107.15	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $151.36	Professional		$64.57	$125.89	$151.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07