Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $86.35 / $148.94	Facility		$86.35	$86.35	$148.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $86.35 / $86.35	Professional		$42.10	$86.35	$86.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.83 / $146.28 / $180.15	Facility		$89.83	$146.28	$180.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $73.95 / $78.89	Professional		$66.56	$73.95	$78.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $66.58 / $66.58	Facility		$40.00	$66.58	$66.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $66.58 / $113.63	Professional		$40.00	$66.58	$113.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $86.35 / $112.26	Facility		$28.22	$86.35	$112.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $57.00 / $72.00	Professional		$57.00	$57.00	$72.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $176.60 / $188.84	Professional		$114.90	$176.60	$188.84
United Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $48.76 / $71.34	Professional		$36.18	$48.76	$71.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $154.08 / $456.72 / $456.72	Facility		$154.08	$456.72	$456.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $493.67 / $717.90 / $717.90	Professional		$493.67	$717.90	$717.90