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 $46.08 / $90.42 / $90.42	Professional		$46.08	$90.42	$90.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.06 / $153.18 / $188.64	Facility		$94.06	$153.18	$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 $63.87 / $64.52 / $64.52	Facility		$63.87	$64.52	$64.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $64.52 / $159.75	Professional		$47.10	$64.52	$159.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $90.42 / $121.45	Facility		$33.26	$90.42	$121.45
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 $123.90 / $123.90 / $190.50	Professional		$123.90	$123.90	$190.50
United Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $51.52 / $78.16	Professional		$39.58	$51.52	$78.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $180.36 / $572.00 / $572.00	Facility		$180.36	$572.00	$572.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $639.69 / $639.69 / $774.45	Professional		$639.69	$639.69	$774.45