Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.03 / $95.03 / $163.92	Facility		$95.03	$95.03	$163.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $95.03 / $95.03	Professional		$45.26	$95.03	$95.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $104.40 / $198.26	Facility		$87.00	$104.40	$198.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.86 / $81.39 / $81.39	Professional		$61.86	$81.39	$81.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $61.62 / $67.13	Facility		$61.62	$61.62	$67.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $61.62 / $110.63	Professional		$44.98	$61.62	$110.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.21 / $94.54 / $123.54	Facility		$26.21	$94.54	$123.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $73.79	Professional		$61.00	$61.00	$73.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $97.70 / $150.19	Professional		$97.70	$97.70	$150.19
United Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $51.87 / $76.95	Professional		$36.10	$51.87	$76.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $169.57 / $439.47 / $439.47	Facility		$169.57	$439.47	$439.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $461.16 / $461.16 / $610.42	Professional		$461.16	$461.16	$610.42