Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $251.19 / $263.03	Facility		$63.10	$251.19	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $79.43	Professional		$52.48	$63.10	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $239.88 / $245.47	Facility		$154.88	$239.88	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $67.61 / $125.89	Professional		$35.48	$67.61	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $125.89 / $208.93	Facility		$60.26	$125.89	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $70.79 / $114.82	Facility		$57.54	$70.79	$114.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $151.36	Professional		$87.10	$102.33	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $87.10	Professional		$33.11	$47.86	$87.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Professional		$398.11	$398.11	$588.84