Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.41 / $90.41 / $155.97	Facility		$90.41	$90.41	$155.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.08 / $90.41 / $90.41	Professional		$44.08	$90.41	$90.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.78 / $99.34 / $188.62	Facility		$82.78	$99.34	$188.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $77.45 / $82.61	Professional		$69.70	$77.45	$82.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $57.32 / $57.32	Facility		$30.00	$57.32	$57.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $41.84 / $118.88	Professional		$30.00	$41.84	$118.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $90.41 / $117.53	Facility		$29.54	$90.41	$117.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $75.00	Professional		$59.00	$59.00	$75.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $184.90 / $197.74	Professional		$120.30	$184.90	$197.74
United Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $51.51 / $72.73	Professional		$37.88	$51.51	$72.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $161.34 / $478.20 / $478.20	Facility		$161.34	$478.20	$478.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $516.82 / $751.88 / $751.88	Professional		$516.82	$751.88	$751.88