Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $120.05 / $155.66	Facility		$49.95	$120.05	$155.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $47.24 / $50.17	Professional		$34.85	$47.24	$50.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.78 / $105.78 / $130.27	Facility		$91.78	$105.78	$130.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $56.15 / $61.77	Professional		$52.12	$56.15	$61.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $44.23 / $54.64	Facility		$44.23	$44.23	$54.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $44.23 / $78.00	Professional		$37.60	$44.23	$78.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $77.45 / $156.00	Facility		$46.45	$77.45	$156.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $133.00 / $133.00	Professional		$133.00	$133.00	$133.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $108.10 / $108.10	Professional		$108.10	$108.10	$108.10
United Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $41.05 / $54.49	Facility		$33.97	$41.05	$54.49
United Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $40.76 / $66.36	Professional		$26.54	$40.76	$66.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $318.54 / $318.54	Facility		$160.00	$318.54	$318.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $452.18 / $630.37 / $630.37	Professional		$452.18	$630.37	$630.37