Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $80.95 / $139.63	Facility		$80.95	$80.95	$139.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $80.95 / $80.95	Professional		$39.47	$80.95	$80.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.14 / $88.96 / $168.90	Facility		$74.14	$88.96	$168.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $69.34 / $73.97	Professional		$62.41	$69.34	$73.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $57.03 / $57.03	Facility		$20.00	$57.03	$57.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $57.03 / $106.50	Professional		$20.00	$57.03	$106.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $80.95 / $105.25	Facility		$26.46	$80.95	$105.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $67.00	Professional		$58.00	$58.00	$67.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $165.60 / $177.06	Professional		$107.70	$165.60	$177.06
United Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $45.71 / $66.89	Professional		$33.90	$45.71	$66.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $144.46 / $428.17 / $428.17	Facility		$144.46	$428.17	$428.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $462.74 / $673.13 / $673.13	Professional		$462.74	$673.13	$673.13