Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $177.83	Professional		$165.96	$173.78	$177.83
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 $89.13 / $89.13 / $97.72	Professional		$89.13	$89.13	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $194.98 / $257.04	Facility		$173.78	$194.98	$257.04
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 $204.17 / $331.13 / $371.54	Facility		$204.17	$331.13	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $204.17	Professional		$125.89	$204.17	$204.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25