Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.74 / $98.08 / $194.81	Facility		$53.74	$98.08	$194.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $48.21 / $85.47	Professional		$37.63	$48.21	$85.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $91.72 / $107.64	Facility		$74.48	$91.72	$107.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $46.36 / $53.87	Professional		$46.36	$46.36	$53.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.60 / $54.60 / $54.60	Facility		$54.60	$54.60	$54.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $58.05	Professional		$54.60	$54.60	$58.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $47.37 / $63.86	Facility		$37.63	$47.37	$63.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $44.46 / $44.46	Professional		$44.46	$44.46	$44.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $664.54 / $664.54 / $1,057.83	Facility		$664.54	$664.54	$1,057.83
United Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $54.94 / $64.75	Professional		$49.05	$54.94	$64.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $52.96 / $100.00 / $170.54	Facility		$52.96	$100.00	$170.54