Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.42 / $90.42 / $155.97	Facility		$90.42	$90.42	$155.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $90.42 / $90.42	Professional		$54.55	$90.42	$90.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.79 / $99.35 / $188.64	Facility		$82.79	$99.35	$188.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $77.45 / $77.45	Professional		$58.86	$77.45	$77.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $75.47 / $75.47	Facility		$63.88	$75.47	$75.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $75.47 / $140.63	Professional		$55.09	$75.47	$140.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $90.42 / $117.55	Facility		$33.26	$90.42	$117.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $70.20	Professional		$58.00	$58.00	$70.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $136.00 / $209.10	Professional		$136.00	$136.00	$209.10
United Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $51.52 / $77.59	Professional		$39.58	$51.52	$77.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $173.04 / $654.03 / $654.03	Facility		$173.04	$654.03	$654.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $692.33 / $692.33 / $849.98	Professional		$692.33	$692.33	$849.98