Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.51 / $179.51 / $179.51	Facility		$179.51	$179.51	$179.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $74.23 / $179.51	Professional		$70.70	$74.23	$179.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $50.54 / $55.59	Professional		$46.92	$50.54	$55.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $70.70 / $70.70	Facility		$66.69	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $178.35	Professional		$70.70	$70.70	$178.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.84 / $179.51 / $330.00	Facility		$124.84	$179.51	$330.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $121.18 / $178.34 / $178.34	Professional		$121.18	$178.34	$178.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.10 / $100.10 / $100.10	Professional		$100.10	$100.10	$100.10
United Facility/Professional Facility Modifier Low / Median / High Price $89.72 / $89.72 / $121.34	Facility		$89.72	$89.72	$121.34
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $91.91	Professional		$70.70	$70.70	$91.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $300.00 / $320.72	Facility		$255.00	$300.00	$320.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $345.00 / $405.09	Professional		$345.00	$345.00	$405.09