Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.95 / $86.95 / $149.97	Facility		$86.95	$86.95	$149.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $86.95 / $86.95	Professional		$47.65	$86.95	$86.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.45 / $147.30 / $181.40	Facility		$90.45	$147.30	$181.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $74.47 / $74.48	Professional		$69.13	$74.47	$74.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.42 / $73.27 / $73.27	Facility		$61.42	$73.27	$73.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $73.27 / $121.88	Professional		$53.49	$73.27	$121.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.30 / $86.95 / $113.04	Facility		$31.30	$86.95	$113.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $67.51	Professional		$56.00	$56.00	$67.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $125.30 / $192.60	Professional		$125.30	$125.30	$192.60
United Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $49.09 / $73.56	Professional		$37.79	$49.09	$73.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $615.54 / $615.54	Facility		$163.66	$615.54	$615.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $689.36 / $689.36 / $783.00	Professional		$689.36	$689.36	$783.00