Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.47 / $61.54 / $155.00	Facility		$60.47	$61.54	$155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $61.54 / $62.26	Professional		$57.92	$61.54	$62.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $104.39 / $163.10	Facility		$66.37	$104.39	$163.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $69.39 / $76.33	Professional		$61.39	$69.39	$76.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $93.91	Facility		$61.54	$61.54	$93.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $72.40	Professional		$61.54	$61.54	$72.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.38 / $61.54 / $86.35	Facility		$45.38	$61.54	$86.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $94.33 / $286.00	Professional		$45.38	$94.33	$286.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.30 / $118.30 / $118.30	Professional		$118.30	$118.30	$118.30
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $63.96 / $72.41	Professional		$60.34	$63.96	$72.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $100.00 / $329.55	Facility		$84.79	$100.00	$329.55
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,649.11 / $2,649.11 / $2,649.11	Professional		$2,649.11	$2,649.11	$2,649.11