Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.99 / $57.99 / $100.04	Facility		$57.99	$57.99	$100.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $57.99 / $57.99	Professional		$28.28	$57.99	$57.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.33 / $98.24 / $120.98	Facility		$60.33	$98.24	$120.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $49.67 / $52.98	Professional		$44.71	$49.67	$52.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $50.00	Facility		$36.78	$36.78	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $36.78 / $95.63	Professional		$26.85	$36.78	$95.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $57.99 / $75.39	Facility		$18.96	$57.99	$75.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $45.03	Professional		$38.00	$38.00	$45.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $118.70 / $126.83	Professional		$77.20	$118.70	$126.83
United Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $33.04 / $47.91	Professional		$24.47	$33.04	$47.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $103.49 / $306.82 / $306.82	Facility		$103.49	$306.82	$306.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $331.67 / $482.48 / $482.48	Professional		$331.67	$482.48	$482.48