Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $72.44 / $251.19	Facility		$60.26	$72.44	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $60.26 / $89.13	Professional		$21.88	$60.26	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $128.82 / $173.78	Facility		$107.15	$128.82	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $67.61	Professional		$25.70	$30.20	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $120.23 / $199.53	Facility		$48.98	$120.23	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $35.48 / $91.20	Professional		$14.13	$35.48	$91.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $60.26 / $97.72	Facility		$38.02	$60.26	$97.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $79.43	Professional		$75.86	$75.86	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $36.31 / $89.13	Facility		$15.85	$36.31	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $31.62 / $52.48	Professional		$15.14	$31.62	$52.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $562.34	Professional		$380.19	$380.19	$562.34