Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $49.22 / $99.16	Facility		$38.76	$49.22	$99.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $49.22 / $65.20	Professional		$40.90	$49.22	$65.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.35 / $180.71 / $180.71	Facility		$128.35	$180.71	$180.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $61.52 / $132.27	Professional		$52.29	$61.52	$132.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.99 / $85.75 / $161.91	Facility		$41.99	$85.75	$161.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $45.73 / $89.47	Professional		$28.50	$45.73	$89.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $61.52 / $102.12	Facility		$49.22	$61.52	$102.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $166.26	Professional		$61.52	$61.52	$166.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $61.52 / $117.81	Professional		$39.99	$61.52	$117.81
United Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $36.90 / $63.37	Professional		$30.76	$36.90	$63.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $107.04 / $292.22 / $292.22	Facility		$107.04	$292.22	$292.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $307.60 / $307.60 / $461.40	Professional		$307.60	$307.60	$461.40