Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $29.30 / $59.03	Facility		$23.07	$29.30	$59.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $29.30 / $58.57	Professional		$24.35	$29.30	$58.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.04 / $76.40 / $103.00	Facility		$62.04	$76.40	$103.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $31.13 / $65.92	Professional		$16.48	$31.13	$65.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $51.06 / $96.08	Facility		$25.17	$51.06	$96.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $27.23 / $53.38	Professional		$16.95	$27.23	$53.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $36.61 / $60.79	Facility		$29.30	$36.61	$60.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $36.61 / $132.10	Professional		$36.61	$36.61	$132.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $36.61 / $70.13	Professional		$23.80	$36.61	$70.13
United Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $43.21 / $43.94	Facility		$21.97	$43.21	$43.94
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $21.97 / $37.72	Professional		$18.30	$21.97	$37.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $63.72 / $173.95 / $173.95	Facility		$63.72	$173.95	$173.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $183.10 / $183.10 / $274.64	Professional		$183.10	$183.10	$274.64