Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $273.16 / $684.44	Facility		$36.84	$273.16	$684.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $49.54 / $85.68	Professional		$33.42	$49.54	$85.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.58 / $89.38 / $111.86	Facility		$72.58	$89.38	$111.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $39.72 / $102.23	Professional		$32.13	$39.72	$102.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.56 / $59.73 / $112.09	Facility		$32.56	$59.73	$112.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $39.61 / $74.79	Professional		$19.91	$39.61	$74.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $60.00 / $93.00	Facility		$34.27	$60.00	$93.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $46.65 / $50.62	Professional		$46.65	$46.65	$50.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $375.62 / $375.62 / $375.62	Facility		$375.62	$375.62	$375.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $45.20	Professional		$42.84	$42.84	$45.20
United Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Facility		$42.84	$42.84	$42.84
United Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.70 / $59.15	Professional		$21.42	$25.70	$59.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $74.54 / $204.03 / $227.00	Facility		$74.54	$204.03	$227.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $327.14 / $352.23 / $352.23	Professional		$327.14	$352.23	$352.23