Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.25 / $77.78 / $156.72	Facility		$61.25	$77.78	$156.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.65 / $77.78 / $103.05	Professional		$64.65	$77.78	$103.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.82 / $285.58 / $285.58	Facility		$202.82	$285.58	$285.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $82.64 / $175.00	Professional		$43.75	$82.64	$175.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $135.36 / $255.32	Facility		$67.84	$135.36	$255.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.08 / $72.19 / $141.84	Professional		$45.08	$72.19	$141.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $97.22 / $161.38	Facility		$77.78	$97.22	$161.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $97.22 / $166.26	Professional		$97.22	$97.22	$166.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $97.22 / $186.18	Professional		$63.19	$97.22	$186.18
United Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $58.33 / $111.80	Professional		$48.61	$58.33	$111.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $169.16 / $461.80 / $461.80	Facility		$169.16	$461.80	$461.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $486.10 / $486.10 / $729.15	Professional		$486.10	$486.10	$729.15