Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.56 / $77.38 / $139.28	Facility		$26.56	$77.38	$139.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $37.36 / $64.75	Professional		$25.00	$37.36	$64.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $57.05 / $70.26	Facility		$49.98	$57.05	$70.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $31.25 / $46.48	Professional		$31.25	$31.25	$46.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.32 / $47.32 / $47.32	Facility		$47.32	$47.32	$47.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $47.32 / $50.40	Professional		$47.32	$47.32	$50.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $44.47 / $52.88	Facility		$29.27	$44.47	$52.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $23.09 / $23.09	Professional		$23.09	$23.09	$23.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $664.54 / $664.54 / $2,340.19	Facility		$664.54	$664.54	$2,340.19
United Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $49.16 / $50.70	Professional		$42.25	$49.16	$50.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $49.70 / $100.00 / $147.79	Facility		$49.70	$100.00	$147.79