Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $75.98 / $153.12	Facility		$59.84	$75.98	$153.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $75.98 / $100.69	Professional		$49.40	$75.98	$100.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.91 / $202.51 / $243.01	Facility		$160.91	$202.51	$243.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $67.87 / $151.97	Professional		$42.75	$67.87	$151.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.83 / $131.99 / $249.10	Facility		$64.83	$131.99	$249.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $70.40 / $138.28	Professional		$44.00	$70.40	$138.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $94.99 / $157.68	Facility		$75.98	$94.99	$157.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $94.99 / $220.34	Professional		$94.99	$94.99	$220.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $94.99 / $181.91	Professional		$61.74	$94.99	$181.91
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $56.99 / $97.84	Professional		$39.90	$56.99	$97.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $165.28 / $451.20 / $451.20	Facility		$165.28	$451.20	$451.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $474.95 / $474.95 / $712.43	Professional		$474.95	$474.95	$712.43