Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $37.79 / $76.16	Facility		$29.77	$37.79	$76.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $37.79 / $58.57	Professional		$30.19	$37.79	$58.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.58 / $138.80 / $138.80	Facility		$98.58	$138.80	$138.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $40.15 / $85.05	Professional		$21.26	$40.15	$85.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $66.00 / $123.66	Facility		$35.90	$66.00	$123.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $35.20 / $68.63	Professional		$21.86	$35.20	$68.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $47.25 / $78.44	Facility		$37.79	$47.25	$78.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $47.25 / $396.82	Professional		$47.25	$47.25	$396.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $47.25 / $90.48	Professional		$30.71	$47.25	$90.48
United Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $55.76 / $56.70	Facility		$47.25	$55.76	$56.70
United Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $28.35 / $51.98	Professional		$23.63	$28.35	$51.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $82.22 / $417.95 / $417.95	Facility		$82.22	$417.95	$417.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $236.25 / $236.25 / $354.38	Professional		$236.25	$236.25	$354.38