Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.62 / $119.62 / $119.62	Facility		$119.62	$119.62	$119.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.62 / $119.62 / $152.76	Professional		$119.62	$119.62	$152.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $81.31 / $86.74	Professional		$75.48	$81.31	$86.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.25 / $145.49 / $145.49	Facility		$137.25	$145.49	$145.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $205.88	Professional		$145.49	$145.49	$205.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.62 / $199.12 / $237.60	Facility		$119.62	$199.12	$237.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.17 / $205.20 / $205.20	Professional		$187.17	$205.20	$205.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $179.20 / $179.20 / $179.20	Professional		$179.20	$179.20	$179.20
United Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $189.14	Professional		$145.49	$145.49	$189.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $192.36 / $216.00 / $516.39	Facility		$192.36	$216.00	$516.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $516.39 / $516.39 / $625.67	Professional		$516.39	$516.39	$625.67