Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.13 / $127.05 / $957.79	Facility		$57.13	$127.05	$957.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $75.63 / $159.90	Professional		$50.76	$75.63	$159.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.30 / $132.08 / $162.66	Facility		$97.30	$132.08	$162.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.65 / $59.90 / $130.91	Professional		$50.65	$59.90	$130.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $64.00 / $186.00	Facility		$45.00	$64.00	$186.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $86.34 / $174.66	Professional		$32.49	$86.34	$174.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $75.63 / $115.95	Facility		$46.00	$75.63	$115.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $76.56 / $80.31	Professional		$45.00	$76.56	$80.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $188.11 / $188.11 / $290.04	Facility		$188.11	$188.11	$290.04
United Facility/Professional Professional Modifier Low / Median / High Price $59.13 / $82.78 / $189.67	Professional		$59.13	$82.78	$189.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $142.24 / $292.83 / $392.92	Facility		$142.24	$292.83	$392.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $483.64 / $483.64 / $627.98	Professional		$483.64	$483.64	$627.98