Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $107.15 / $117.49	Facility		$28.18	$107.15	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $43.65	Professional		$22.91	$28.18	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $79.43 / $109.65	Facility		$58.88	$79.43	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $34.67 / $81.28	Professional		$29.51	$34.67	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $54.95 / $91.20	Facility		$23.99	$54.95	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.99 / $46.77	Professional		$16.22	$23.99	$46.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $31.62 / $51.29	Facility		$28.18	$31.62	$51.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $37.15	Professional		$34.67	$34.67	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $41.69 / $42.66	Facility		$20.89	$41.69	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $38.90	Professional		$14.79	$20.89	$38.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $263.03	Professional		$173.78	$173.78	$263.03