Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.51 / $82.51 / $142.31	Facility		$82.51	$82.51	$142.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $82.51 / $82.51	Professional		$43.79	$82.51	$82.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.52 / $90.62 / $172.14	Facility		$75.52	$90.62	$172.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $70.67 / $70.67	Professional		$53.71	$70.67	$70.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $81.37 / $81.37	Facility		$58.28	$81.37	$81.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $81.37 / $133.13	Professional		$58.28	$81.37	$133.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.34 / $82.51 / $107.26	Facility		$30.34	$82.51	$107.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $64.06	Professional		$53.00	$53.00	$64.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $113.10 / $173.80	Professional		$113.10	$113.10	$173.80
United Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $47.01 / $73.73	Professional		$36.11	$47.01	$73.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $596.79 / $596.79	Facility		$158.49	$596.79	$596.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $905.58 / $905.58 / $905.58	Professional		$905.58	$905.58	$905.58