Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $60.48 / $65.02	Facility		$16.52	$60.48	$65.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $60.48 / $65.02	Professional		$37.79	$60.48	$65.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $127.84 / $157.72	Facility		$104.04	$127.84	$157.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $28.14 / $56.70	Professional		$25.44	$28.14	$56.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.60 / $105.01 / $198.39	Facility		$51.60	$105.01	$198.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $35.00 / $98.07	Professional		$13.98	$35.00	$98.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.93 / $55.06 / $79.38	Facility		$29.93	$55.06	$79.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $29.93 / $29.96	Professional		$22.45	$29.93	$29.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $75.59 / $79.76	Professional		$75.59	$75.59	$79.76
United Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $31.75 / $52.92	Professional		$14.97	$31.75	$52.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $131.54 / $359.10 / $359.10	Facility		$131.54	$359.10	$359.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $378.00 / $567.00	Professional		$378.00	$378.00	$567.00