Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $30.18 / $180.38	Facility		$24.56	$30.18	$180.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $40.59 / $52.63	Professional		$28.07	$40.59	$52.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $102.26 / $102.26	Facility		$73.20	$102.26	$102.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $31.82 / $85.66	Professional		$26.32	$31.82	$85.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $48.65 / $92.52	Facility		$26.66	$48.65	$92.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $27.84 / $68.06	Professional		$16.35	$27.84	$68.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $44.54 / $63.75	Facility		$28.07	$44.54	$63.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.16 / $35.11	Professional		$28.16	$28.16	$35.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $37.02 / $67.20	Professional		$35.09	$37.02	$67.20
United Facility/Professional Facility Modifier Low / Median / High Price $29.42 / $46.01 / $60.32	Facility		$29.42	$46.01	$60.32
United Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $21.05 / $44.54	Professional		$17.13	$21.05	$44.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $167.46 / $167.46 / $321.41	Facility		$167.46	$167.46	$321.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $384.23 / $384.23 / $384.23	Professional		$384.23	$384.23	$384.23