Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.77 / $58.77 / $58.77	Facility		$58.77	$58.77	$58.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $58.77 / $58.77	Professional		$42.46	$58.77	$58.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.61 / $126.34 / $155.59	Facility		$77.61	$126.34	$155.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $48.53 / $53.38	Professional		$45.04	$48.53	$53.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $43.49 / $43.49	Professional		$43.49	$43.49	$43.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $64.01 / $103.63	Facility		$37.04	$64.01	$103.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $37.04 / $64.01	Professional		$37.04	$37.04	$64.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $98.30 / $98.30	Professional		$98.30	$98.30	$98.30
United Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $42.49 / $66.66	Professional		$32.43	$42.49	$66.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $107.90 / $138.80 / $396.25	Facility		$107.90	$138.80	$396.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $397.13 / $611.03 / $611.03	Professional		$397.13	$611.03	$611.03