Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.49 / $92.49 / $159.55	Facility		$92.49	$92.49	$159.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $92.49 / $92.49	Professional		$45.09	$92.49	$92.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.24 / $156.68 / $192.96	Facility		$96.24	$156.68	$192.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.21 / $79.22 / $79.22	Professional		$60.21	$79.22	$79.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.19 / $67.95 / $67.95	Facility		$37.19	$67.95	$67.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $67.95 / $121.88	Professional		$37.19	$67.95	$121.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $92.49 / $120.24	Facility		$30.22	$92.49	$120.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $34.00 / $71.81	Professional		$34.00	$34.00	$71.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $189.20	Professional		$123.00	$123.00	$189.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $52.22 / $76.40	Professional		$38.75	$52.22	$76.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $165.04 / $489.15 / $489.15	Facility		$165.04	$489.15	$489.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $528.83 / $528.83 / $768.90	Professional		$528.83	$528.83	$768.90