Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.53 / $74.62 / $121.25	Facility		$69.53	$74.62	$121.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $74.62 / $104.44	Professional		$69.98	$74.62	$104.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.46 / $169.75 / $211.73	Facility		$141.46	$169.75	$211.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $75.50 / $75.50	Professional		$75.50	$75.50	$75.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.50 / $102.75 / $143.94	Facility		$77.50	$102.75	$143.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $113.84 / $204.26	Professional		$71.23	$113.84	$204.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.62 / $109.12 / $185.00	Facility		$74.62	$109.12	$185.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $94.95 / $305.14	Professional		$41.00	$94.95	$305.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $126.00 / $183.70	Professional		$68.59	$126.00	$183.70
United Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $96.23 / $200.79	Professional		$66.81	$96.23	$200.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $184.07 / $446.69 / $446.69	Facility		$184.07	$446.69	$446.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $553.87 / $553.87 / $702.45	Professional		$553.87	$553.87	$702.45