Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.96 / $37.28 / $85.19	Facility		$29.96	$37.28	$85.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $37.28 / $50.41	Professional		$30.99	$37.28	$50.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.22 / $144.37 / $155.24	Facility		$97.22	$144.37	$155.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $46.89 / $113.63	Professional		$41.94	$46.89	$113.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $65.03 / $151.74	Facility		$35.40	$65.03	$151.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $34.68 / $68.12	Professional		$21.68	$34.68	$68.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $52.85 / $71.34	Facility		$37.28	$52.85	$71.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $34.35 / $52.85	Professional		$34.35	$34.35	$52.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $46.60 / $89.24	Professional		$30.29	$46.60	$89.24
United Facility/Professional Facility Modifier Low / Median / High Price $55.92 / $55.92 / $55.92	Facility		$55.92	$55.92	$55.92
United Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $27.96 / $52.85	Professional		$23.30	$27.96	$52.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $81.08 / $221.35 / $221.35	Facility		$81.08	$221.35	$221.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $233.00 / $349.50	Professional		$233.00	$233.00	$349.50