Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.01 / $155.01 / $155.01	Facility		$155.01	$155.01	$155.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $155.01 / $155.01	Professional		$87.98	$155.01	$155.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $66.05 / $70.45	Professional		$61.31	$66.05	$70.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $87.98 / $87.98	Facility		$83.00	$87.98	$87.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.86 / $150.55 / $227.86	Facility		$110.86	$150.55	$227.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.55 / $150.55 / $173.18	Professional		$150.55	$150.55	$173.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.30 / $113.30 / $113.30	Professional		$113.30	$113.30	$113.30
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $114.37	Professional		$87.98	$87.98	$114.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $117.03 / $240.79 / $420.08	Facility		$117.03	$240.79	$420.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $450.24 / $450.24 / $578.88	Professional		$450.24	$450.24	$578.88