Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $64.83 / $75.68	Professional		$42.05	$64.83	$75.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $80.98 / $110.96	Professional		$33.18	$80.98	$110.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.27 / $89.27 / $89.27	Facility		$89.27	$89.27	$89.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $73.66 / $138.26	Professional		$24.53	$73.66	$138.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $55.11 / $77.80	Facility		$28.00	$55.11	$77.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.49 / $118.09 / $137.50	Professional		$95.49	$118.09	$137.50
United Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $52.44 / $120.04	Professional		$28.09	$52.44	$120.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $145.68 / $160.78 / $439.52	Facility		$145.68	$160.78	$439.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $437.76 / $437.76 / $680.10	Professional		$437.76	$437.76	$680.10