Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.18 / $90.83 / $105.76	Facility		$61.18	$90.83	$105.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $48.64 / $90.83	Professional		$46.32	$48.64	$90.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.72 / $102.75 / $137.97	Facility		$58.72	$102.75	$137.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $55.73 / $102.75	Professional		$55.73	$55.73	$102.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $46.32 / $90.83	Facility		$43.70	$46.32	$90.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $99.90	Professional		$46.32	$46.32	$99.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.09 / $81.56 / $117.55	Facility		$57.09	$81.56	$117.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.55 / $71.00 / $81.56	Professional		$64.55	$71.00	$81.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $74.11 / $88.70	Professional		$65.67	$74.11	$88.70
United Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Facility		$46.32	$46.32	$46.32
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $49.10 / $55.78	Professional		$46.32	$49.10	$55.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $90.83 / $232.69 / $232.69	Facility		$90.83	$232.69	$232.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $232.69 / $232.69 / $232.69	Professional		$232.69	$232.69	$232.69