Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.66 / $162.18	Facility		$33.88	$42.66	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $60.26	Professional		$30.90	$38.90	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $104.71 / $109.65	Facility		$81.28	$104.71	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $74.13	Professional		$28.84	$35.48	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $75.86 / $125.89	Facility		$33.11	$75.86	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $40.74 / $74.13	Professional		$22.39	$40.74	$74.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $52.48 / $89.13	Facility		$38.02	$52.48	$89.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $51.29	Professional		$47.86	$47.86	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $57.54 / $61.66	Facility		$30.20	$57.54	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.84 / $50.12	Professional		$16.98	$28.84	$50.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $363.08	Professional		$288.40	$288.40	$363.08