Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $68.55 / $174.37	Facility		$52.04	$68.55	$174.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $52.04 / $142.28	Professional		$50.11	$52.04	$142.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $149.00 / $149.00	Professional		$149.00	$149.00	$149.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $89.08 / $435.73	Facility		$64.06	$89.08	$435.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $164.42 / $387.50	Professional		$65.30	$164.42	$387.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $223.97 / $371.00	Facility		$52.04	$223.97	$371.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $84.00 / $223.97	Professional		$21.00	$84.00	$223.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $124.10 / $302.60	Professional		$81.15	$124.10	$302.60
United Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $116.26 / $221.84	Professional		$60.17	$116.26	$221.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $371.52 / $598.83 / $598.83	Facility		$371.52	$598.83	$598.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,895.10 / $2,895.10 / $2,895.10	Professional		$2,895.10	$2,895.10	$2,895.10