Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $501.19	Professional		$79.43	$79.43	$501.19
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 / $436.52	Professional		$89.13	$89.13	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $112.20	Professional		$79.43	$79.43	$112.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $275.42 / $645.65	Facility		$79.43	$275.42	$645.65
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 $79.43 / $131.83 / $147.91	Facility		$79.43	$131.83	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $588.84	Professional		$79.43	$125.89	$588.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23