Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.26 / $81.26 / $81.26	Facility		$81.26	$81.26	$81.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $81.26 / $81.26	Professional		$44.07	$81.26	$81.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $90.90 / $169.53	Facility		$75.75	$90.90	$169.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $69.61 / $74.25	Professional		$64.61	$69.61	$74.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $53.85	Facility		$53.85	$53.85	$53.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $53.85 / $116.25	Professional		$39.31	$53.85	$116.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $74.95 / $97.51	Facility		$49.00	$74.95	$97.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $49.00	Professional		$39.00	$39.00	$49.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.63 / $100.23 / $155.66	Professional		$90.63	$100.23	$155.66
United Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $46.30 / $71.94	Professional		$35.33	$46.30	$71.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $146.31 / $545.82 / $545.82	Facility		$146.31	$545.82	$545.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $551.57 / $646.35 / $646.35	Professional		$551.57	$646.35	$646.35