Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.71 / $100.71 / $173.74	Facility		$100.71	$100.71	$173.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $100.71 / $100.71	Professional		$46.37	$100.71	$100.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.77 / $170.61 / $210.11	Facility		$104.77	$170.61	$210.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.08 / $86.26 / $86.27	Professional		$80.08	$86.26	$86.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $66.78 / $71.15	Facility		$66.78	$66.78	$71.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $66.78 / $123.75	Professional		$48.75	$66.78	$123.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $100.20 / $130.91	Facility		$28.31	$100.20	$130.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $78.20	Professional		$65.00	$65.00	$78.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.80 / $104.80 / $162.19	Professional		$104.80	$104.80	$162.19
United Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $54.60 / $81.02	Professional		$36.54	$54.60	$81.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $179.71 / $556.61 / $556.61	Facility		$179.71	$556.61	$556.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $684.99 / $684.99 / $684.99	Professional		$684.99	$684.99	$684.99