Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.23 / $374.23 / $374.23	Facility		$374.23	$374.23	$374.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $374.23 / $374.23	Professional		$109.44	$374.23	$374.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.99 / $184.21 / $196.49	Professional		$170.99	$184.21	$196.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.24 / $109.44 / $109.44	Facility		$103.24	$109.44	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $297.39	Professional		$109.44	$109.44	$297.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $183.76 / $380.65 / $1,834.80	Facility		$183.76	$380.65	$1,834.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $319.85 / $380.65 / $380.65	Professional		$319.85	$380.65	$380.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.90 / $182.90 / $182.90	Professional		$182.90	$182.90	$182.90
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $142.27	Professional		$109.44	$109.44	$142.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,417.80 / $1,417.80 / $1,668.00	Facility		$1,417.80	$1,417.80	$1,668.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,884.84 / $1,884.84 / $1,884.84	Professional		$1,884.84	$1,884.84	$1,884.84