Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $83.76 / $146.69	Facility		$40.79	$83.76	$146.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $87.55 / $147.02	Professional		$67.91	$87.55	$147.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.66 / $145.31 / $178.95	Facility		$107.66	$145.31	$178.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $92.96 / $207.72	Professional		$39.60	$92.96	$207.72
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 $37.24 / $98.16 / $188.42	Professional		$37.24	$98.16	$188.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.44 / $94.76 / $138.06	Facility		$66.44	$94.76	$138.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $102.06 / $103.24	Professional		$48.89	$102.06	$103.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $219.75 / $219.75 / $219.75	Facility		$219.75	$219.75	$219.75
United Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $95.79 / $184.89	Professional		$73.36	$95.79	$184.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $155.26 / $319.45 / $436.00	Facility		$155.26	$319.45	$436.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $537.75 / $537.75 / $694.88	Professional		$537.75	$537.75	$694.88