Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.77 / $67.77 / $67.77	Facility		$67.77	$67.77	$67.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $67.77 / $108.60	Professional		$46.40	$67.77	$108.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $162.79 / $246.85	Professional		$52.33	$162.79	$246.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.99 / $63.99 / $63.99	Facility		$63.99	$63.99	$63.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $27.62 / $268.18	Professional		$21.97	$27.62	$268.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $57.60 / $104.37	Facility		$54.34	$57.60	$104.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $74.00 / $79.00	Professional		$54.34	$74.00	$79.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $80.59 / $80.59	Professional		$80.59	$80.59	$80.59
United Facility/Professional Professional Modifier Low / Median / High Price $82.29 / $106.63 / $189.58	Professional		$82.29	$106.63	$189.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $128.75 / $298.06 / $298.06	Facility		$128.75	$298.06	$298.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $442.64 / $480.23 / $480.23	Professional		$442.64	$480.23	$480.23