Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.63 / $52.54 / $437.55	Facility		$45.63	$52.54	$437.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $49.05 / $90.06	Professional		$29.33	$49.05	$90.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $167.57 / $167.57	Facility		$119.00	$167.57	$167.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $58.75 / $209.20	Professional		$25.67	$58.75	$209.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.35 / $79.48 / $149.46	Facility		$43.35	$79.48	$149.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $42.39 / $82.87	Professional		$26.39	$42.39	$82.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.63 / $57.04 / $94.69	Facility		$45.63	$57.04	$94.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $57.04 / $95.18	Professional		$57.04	$57.04	$95.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $57.04 / $109.23	Professional		$37.08	$57.04	$109.23
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $34.22 / $57.04	Professional		$28.52	$34.22	$57.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $270.94 / $270.94	Facility		$99.25	$270.94	$270.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $285.20 / $427.80	Professional		$285.20	$285.20	$427.80