Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $162.18	Professional		$114.82	$158.49	$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 / $97.72	Professional		$89.13	$89.13	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $158.49 / $223.87	Facility		$117.49	$158.49	$223.87
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 $165.96 / $295.12 / $331.13	Facility		$165.96	$295.12	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $165.96	Professional		$125.89	$165.96	$165.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14