Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $45.71 / $141.25	Facility		$33.88	$45.71	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $56.23	Professional		$30.90	$37.15	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $97.72 / $144.54	Facility		$72.44	$97.72	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $85.11	Professional		$32.36	$39.81	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $67.61 / $112.20	Facility		$29.51	$67.61	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.90 / $83.18	Professional		$19.95	$38.90	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $60.26 / $107.15	Facility		$33.88	$60.26	$107.15
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 $42.66 / $42.66 / $45.71	Professional		$42.66	$42.66	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $56.23 / $74.13	Facility		$37.15	$56.23	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.70 / $60.26	Professional		$17.78	$25.70	$60.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $263.03 / $263.03	Facility		$204.17	$263.03	$263.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $354.81	Professional		$323.59	$354.81	$354.81