Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.46 / $164.46 / $164.46	Facility		$164.46	$164.46	$164.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $164.46 / $164.46	Professional		$76.09	$164.46	$164.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.85 / $59.09 / $63.02	Professional		$54.85	$59.09	$63.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.78 / $76.09 / $76.09	Facility		$71.78	$76.09	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $170.27	Professional		$76.09	$76.09	$170.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.18 / $170.26 / $369.05	Facility		$119.18	$170.26	$369.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.28 / $170.26 / $170.26	Professional		$122.28	$170.26	$170.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $111.50 / $111.50	Professional		$111.50	$111.50	$111.50
United Facility/Professional Facility Modifier Low / Median / High Price $105.35 / $105.35 / $142.47	Facility		$105.35	$105.35	$142.47
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $98.92	Professional		$76.09	$76.09	$98.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $285.18 / $285.18 / $375.43	Facility		$285.18	$285.18	$375.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $404.97 / $404.97 / $408.74	Professional		$404.97	$404.97	$408.74