Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.50 / $98.50 / $169.93	Facility		$98.50	$98.50	$169.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $98.50 / $98.50	Professional		$48.03	$98.50	$98.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $166.86 / $205.49	Facility		$102.48	$166.86	$205.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $84.37 / $89.99	Professional		$75.93	$84.37	$89.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $66.72 / $66.72	Facility		$40.00	$66.72	$66.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $66.72 / $129.75	Professional		$40.00	$66.72	$129.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.18 / $98.50 / $128.05	Facility		$32.18	$98.50	$128.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $82.00	Professional		$65.00	$65.00	$82.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $201.40 / $215.42	Professional		$131.00	$201.40	$215.42
United Facility/Professional Professional Modifier Low / Median / High Price $41.27 / $55.62 / $88.05	Professional		$41.27	$55.62	$88.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $175.76 / $520.92 / $520.92	Facility		$175.76	$520.92	$520.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $563.39 / $818.78 / $818.78	Professional		$563.39	$818.78	$818.78