Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $81.28 / $251.19	Facility		$72.44	$81.28	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $177.83	Professional		$56.23	$77.62	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $173.78 / $245.47	Facility		$97.72	$173.78	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $186.21	Professional		$58.88	$102.33	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $93.33 / $158.49	Facility		$64.57	$93.33	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $134.90 / $281.84	Professional		$54.95	$134.90	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $69.18 / $134.90	Facility		$19.05	$69.18	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $165.96	Professional		$54.95	$87.10	$165.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $707.95	Professional		$575.44	$575.44	$707.95