Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $81.48 / $288.01	Facility		$75.79	$81.48	$288.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $75.79 / $151.58	Professional		$63.00	$75.79	$151.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.49 / $197.65 / $303.70	Facility		$160.49	$197.65	$303.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $118.43 / $505.75	Professional		$42.63	$118.43	$505.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $131.99 / $249.10	Facility		$71.98	$131.99	$249.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $85.42 / $138.28	Professional		$44.00	$85.42	$138.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $125.25 / $157.27	Facility		$75.79	$125.25	$157.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.25 / $125.25 / $281.00	Professional		$125.25	$125.25	$281.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $94.74 / $181.43	Professional		$61.58	$94.74	$181.43
United Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $62.63 / $125.25	Professional		$47.37	$62.63	$125.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $164.85 / $450.02 / $450.02	Facility		$164.85	$450.02	$450.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $473.70 / $473.70 / $710.55	Professional		$473.70	$473.70	$710.55