Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.08 / $138.66 / $13,472.96	Facility		$65.08	$138.66	$13,472.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $65.08 / $85.80	Professional		$61.44	$65.08	$85.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $96.82 / $122.68	Facility		$65.34	$96.82	$122.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.54 / $66.54 / $93.50	Professional		$66.54	$66.54	$93.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $61.44 / $79.48	Facility		$57.96	$61.44	$79.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $93.50	Professional		$61.44	$61.44	$93.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.08 / $80.26 / $102.85	Facility		$65.08	$80.26	$102.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $85.00 / $124.31	Professional		$80.26	$85.00	$124.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $101.03 / $132.30	Professional		$98.30	$101.03	$132.30
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $65.13 / $76.80	Professional		$61.44	$65.13	$76.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $107.10 / $375.40	Facility		$93.50	$107.10	$375.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $303.45 / $303.45 / $303.45	Professional		$303.45	$303.45	$303.45