Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.55 / $97.55 / $168.24	Facility		$97.55	$97.55	$168.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $97.55 / $97.55	Professional		$46.22	$97.55	$97.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.30 / $107.16 / $203.52	Facility		$89.30	$107.16	$203.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $83.56 / $83.56	Professional		$63.50	$83.56	$83.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $68.88	Facility		$64.62	$64.62	$68.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $64.62 / $115.88	Professional		$47.17	$64.62	$115.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $97.01 / $126.82	Facility		$28.11	$97.01	$126.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $75.72	Professional		$63.00	$63.00	$75.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $104.70 / $161.10	Professional		$104.70	$104.70	$161.10
United Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $52.88 / $78.45	Professional		$36.29	$52.88	$78.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $174.08 / $552.85 / $552.85	Facility		$174.08	$552.85	$552.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $686.03 / $686.03 / $686.03	Professional		$686.03	$686.03	$686.03