Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.37 / $87.37 / $139.04	Facility		$87.37	$87.37	$139.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $87.37 / $102.84	Professional		$87.37	$87.37	$102.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.78 / $135.38 / $223.18	Facility		$120.78	$135.38	$223.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $71.44 / $76.20	Professional		$66.31	$71.44	$76.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.40 / $97.94 / $97.94	Facility		$92.40	$97.94	$97.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $206.40	Professional		$97.94	$97.94	$206.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.87 / $87.37 / $227.04	Facility		$75.87	$87.37	$227.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $197.98 / $239.98	Professional		$75.87	$197.98	$239.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $151.90 / $187.70	Professional		$151.90	$151.90	$187.70
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $140.05	Professional		$97.94	$97.94	$140.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $175.44 / $360.85 / $515.50	Facility		$175.44	$360.85	$515.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $464.40 / $464.40 / $928.80	Professional		$464.40	$464.40	$928.80