Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $74.25 / $176.01	Facility		$50.93	$74.25	$176.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $65.33 / $65.33	Professional		$63.79	$65.33	$65.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $26.73 / $28.51	Professional		$26.73	$26.73	$28.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Facility		$65.33	$65.33	$65.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $76.86	Professional		$65.33	$65.33	$76.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $31.23 / $78.44	Facility		$19.30	$31.23	$78.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $20.03 / $20.03	Professional		$20.03	$20.03	$20.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $104.03 / $128.69	Professional		$47.90	$104.03	$128.69
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $84.55	Professional		$64.05	$64.05	$84.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $153.72	Facility		$75.00	$85.00	$153.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $292.07 / $292.07 / $345.87	Professional		$292.07	$292.07	$345.87