Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $162.18	Facility		$67.61	$67.61	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $67.61 / $83.18	Professional		$60.26	$67.61	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $141.25	Professional		$51.29	$72.44	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $169.82	Professional		$64.57	$109.65	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $72.44 / $109.65	Facility		$60.26	$72.44	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $114.82	Professional		$60.26	$87.10	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $134.90	Professional		$60.26	$81.28	$134.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44