Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $77.62 / $77.62	Facility		$41.69	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $109.65	Professional		$39.81	$72.44	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $67.61	Professional		$25.70	$54.95	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $177.83	Professional		$50.12	$93.33	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $69.18 / $104.71	Facility		$39.81	$69.18	$104.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $134.90	Professional		$43.65	$77.62	$134.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $660.69	Professional		$512.86	$660.69	$660.69