Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.62 / $52.62 / $90.77	Facility		$52.62	$52.62	$90.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $52.62 / $52.62	Professional		$25.66	$52.62	$52.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.18 / $57.82 / $109.77	Facility		$48.18	$57.82	$109.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $45.08 / $48.08	Professional		$40.57	$45.08	$48.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $43.99 / $43.99	Facility		$20.00	$43.99	$43.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $43.99 / $69.38	Professional		$20.00	$43.99	$69.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $52.62 / $68.41	Facility		$17.19	$52.62	$68.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $42.16	Professional		$35.00	$35.00	$42.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $107.60 / $115.09	Professional		$69.90	$107.60	$115.09
United Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $29.71 / $42.33	Professional		$22.04	$29.71	$42.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $93.90 / $278.23 / $278.23	Facility		$93.90	$278.23	$278.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $300.94 / $437.18 / $437.18	Professional		$300.94	$437.18	$437.18