Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.64 / $139.63 / $152.47	Facility		$72.64	$139.63	$152.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $80.95 / $236.60	Professional		$43.91	$80.95	$236.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $137.15 / $168.90	Facility		$84.24	$137.15	$168.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $69.34 / $76.29	Professional		$64.37	$69.34	$76.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $75.00	Facility		$61.54	$61.54	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $61.54 / $133.13	Professional		$44.92	$61.54	$133.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $80.95 / $111.72	Facility		$26.46	$80.95	$111.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $67.00	Professional		$53.00	$53.00	$67.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $107.70 / $165.60	Professional		$107.70	$107.70	$165.60
United Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $45.71 / $66.89	Professional		$34.15	$45.71	$66.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $217.15 / $428.17 / $428.17	Facility		$217.15	$428.17	$428.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $673.13 / $673.13 / $872.80	Professional		$673.13	$673.13	$872.80