Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.57 / $54.57 / $67.00	Facility		$54.57	$54.57	$67.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $54.57 / $54.57	Professional		$32.04	$54.57	$54.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.79 / $82.89 / $113.84	Facility		$56.79	$82.89	$113.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $46.74 / $49.86	Professional		$43.39	$46.74	$49.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $25.43 / $25.43	Professional		$21.50	$25.43	$25.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $54.57 / $91.59	Facility		$45.29	$54.57	$91.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $46.85 / $101.15	Professional		$40.00	$46.85	$101.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $80.09 / $116.30	Professional		$44.10	$80.09	$116.30
United Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $30.82 / $48.78	Professional		$23.73	$30.82	$48.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $92.48 / $125.88 / $296.02	Facility		$92.48	$125.88	$296.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $325.52 / $325.52 / $442.88	Professional		$325.52	$325.52	$442.88