Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $54.84 / $95.99	Facility		$43.19	$54.84	$95.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $54.84 / $72.66	Professional		$45.59	$54.84	$72.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.12 / $144.41 / $192.80	Facility		$116.12	$144.41	$192.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $53.49 / $107.19	Professional		$30.85	$53.49	$107.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.79 / $95.38 / $179.70	Facility		$46.79	$95.38	$179.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $55.80 / $99.64	Professional		$31.37	$55.80	$99.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.84 / $59.55 / $109.89	Facility		$54.84	$59.55	$109.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.55 / $59.55 / $254.49	Professional		$59.55	$59.55	$254.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $68.55 / $131.27	Professional		$44.56	$68.55	$131.27
United Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $41.13 / $68.55	Professional		$29.78	$41.13	$68.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $119.28 / $325.61 / $325.61	Facility		$119.28	$325.61	$325.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $342.75 / $342.75 / $514.13	Professional		$342.75	$342.75	$514.13