Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.21 / $210.38 / $210.38	Facility		$82.21	$210.38	$210.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $82.21 / $82.21	Professional		$61.56	$82.21	$82.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.42 / $176.55 / $217.43	Facility		$108.42	$176.55	$217.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $67.84 / $72.37	Professional		$62.98	$67.84	$72.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $47.79	Professional		$47.79	$47.79	$47.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.59 / $82.21 / $139.76	Facility		$74.59	$82.21	$139.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $74.59 / $74.59	Professional		$74.59	$74.59	$74.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $51.80 / $137.40	Professional		$51.80	$51.80	$137.40
United Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $59.38 / $93.15	Professional		$45.32	$59.38	$93.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $150.96 / $194.07 / $554.04	Facility		$150.96	$194.07	$554.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $555.50 / $854.25 / $854.25	Professional		$555.50	$854.25	$854.25