Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $68.80 / $118.67	Facility		$68.80	$68.80	$118.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $68.80 / $68.80	Professional		$33.54	$68.80	$68.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $116.55 / $143.53	Facility		$71.56	$116.55	$143.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.03 / $58.93 / $62.86	Professional		$53.03	$58.93	$62.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $43.62 / $43.62	Facility		$30.00	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $43.62 / $90.75	Professional		$30.00	$43.62	$90.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $68.80 / $89.44	Facility		$22.48	$68.80	$89.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $57.00	Professional		$45.00	$45.00	$57.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.50 / $140.69 / $150.46	Professional		$91.50	$140.69	$150.46
United Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $38.85 / $55.34	Professional		$28.83	$38.85	$55.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $122.77 / $363.92 / $363.92	Facility		$122.77	$363.92	$363.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $393.37 / $572.10 / $572.10	Professional		$393.37	$572.10	$572.10