Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.17 / $68.51 / $339.71	Facility		$51.17	$68.51	$339.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $54.37 / $87.83	Professional		$42.53	$54.37	$87.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $187.87 / $187.87	Facility		$133.44	$187.87	$187.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $57.56 / $118.20	Professional		$19.00	$57.56	$118.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $89.12 / $168.14	Facility		$43.65	$89.12	$168.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $47.53 / $93.03	Professional		$29.63	$47.53	$93.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.17 / $63.96 / $106.17	Facility		$51.17	$63.96	$106.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $63.96 / $84.87	Professional		$63.96	$63.96	$84.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $63.96 / $122.48	Professional		$41.57	$63.96	$122.48
United Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $75.47 / $76.75	Facility		$63.96	$75.47	$76.75
United Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $38.38 / $65.88	Professional		$31.98	$38.38	$65.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $111.29 / $303.81 / $303.81	Facility		$111.29	$303.81	$303.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $319.80 / $479.70	Professional		$319.80	$319.80	$479.70