Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $44.67 / $138.04	Facility		$33.11	$44.67	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $54.95	Professional		$26.92	$34.67	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $102.33 / $123.03	Facility		$70.79	$102.33	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $144.54	Professional		$31.62	$38.02	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $66.07 / $109.65	Facility		$28.18	$66.07	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.02 / $81.28	Professional		$19.50	$38.02	$81.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $58.88 / $104.71	Facility		$33.11	$58.88	$104.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $43.65	Professional		$41.69	$41.69	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $54.95 / $72.44	Facility		$35.48	$54.95	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $58.88	Professional		$17.38	$25.12	$58.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $346.74 / $346.74	Professional		$316.23	$346.74	$346.74