Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.22 / $87.61 / $87.61	Facility		$37.22	$87.61	$87.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $87.61 / $103.98	Professional		$70.56	$87.61	$103.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.34 / $232.34 / $232.34	Facility		$232.34	$232.34	$232.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $70.84 / $70.84	Professional		$50.19	$70.84	$70.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $164.27 / $299.80	Facility		$2.66	$164.27	$299.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $56.55 / $140.16	Professional		$38.10	$56.55	$140.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $91.99 / $126.60	Facility		$68.98	$91.99	$126.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.43 / $109.00 / $190.00	Professional		$70.43	$109.00	$190.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $185.60 / $185.60 / $185.60	Professional		$185.60	$185.60	$185.60
United Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $52.61 / $105.86	Professional		$37.46	$52.61	$105.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $162.58 / $201.07 / $464.12	Facility		$162.58	$201.07	$464.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $739.96 / $739.96 / $739.96	Professional		$739.96	$739.96	$739.96