Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $58.88	Professional		$28.84	$40.74	$58.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $67.61 / $134.90	Facility		$56.23	$67.61	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $52.48 / $52.48	Professional		$51.29	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $42.66 / $42.66	Facility		$30.20	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $54.95	Professional		$30.90	$30.90	$54.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $45.71 / $45.71	Professional		$42.66	$45.71	$45.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $60.26 / $102.33	Facility		$29.51	$60.26	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.88 / $54.95	Facility		$22.91	$33.88	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $51.29	Professional		$26.30	$33.88	$51.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69