Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.55 / $126.55 / $126.55	Facility		$126.55	$126.55	$126.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.55 / $126.55 / $191.29	Professional		$126.55	$126.55	$191.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.13 / $310.13 / $381.93	Facility		$310.13	$310.13	$381.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $126.47 / $139.12	Professional		$117.40	$126.47	$139.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.87 / $182.18 / $182.18	Facility		$171.87	$182.18	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $257.80	Professional		$182.18	$182.18	$257.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.55 / $264.49 / $550.00	Facility		$126.55	$264.49	$550.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $228.65 / $425.13 / $425.13	Professional		$228.65	$425.13	$425.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $256.10 / $256.10 / $338.80	Professional		$256.10	$256.10	$338.80
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $236.83	Professional		$182.18	$182.18	$236.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $447.50 / $804.35	Facility		$425.00	$447.50	$804.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $804.35 / $804.35 / $804.35	Professional		$804.35	$804.35	$804.35