Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.40 / $71.38 / $297.51	Facility		$66.40	$71.38	$297.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $66.40 / $87.98	Professional		$55.20	$66.40	$87.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.16 / $243.98 / $243.98	Facility		$173.16	$243.98	$243.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $37.36 / $132.80	Professional		$37.35	$37.36	$132.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.07 / $115.61 / $217.96	Facility		$63.07	$115.61	$217.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $74.73 / $120.99	Professional		$38.53	$74.73	$120.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.40 / $77.20 / $124.50	Facility		$66.40	$77.20	$124.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $77.20 / $350.00	Professional		$77.20	$77.20	$350.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $83.00 / $158.94	Professional		$53.95	$83.00	$158.94
United Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $99.60 / $99.60	Facility		$99.60	$99.60	$99.60
United Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $49.80 / $87.98	Professional		$40.27	$49.80	$87.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $144.41 / $394.25 / $394.25	Facility		$144.41	$394.25	$394.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $415.00 / $622.50	Professional		$415.00	$415.00	$622.50