Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $161.00	Facility		$93.33	$93.33	$161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.51 / $93.33 / $93.33	Professional		$45.51	$93.33	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.46 / $102.56 / $194.71	Facility		$85.46	$102.56	$194.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.76 / $79.94 / $79.94	Professional		$60.76	$79.94	$79.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.93 / $66.72 / $66.72	Facility		$65.93	$66.72	$66.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $118.13	Professional		$48.71	$66.72	$118.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $93.33 / $125.37	Facility		$32.76	$93.33	$125.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $72.48	Professional		$60.00	$60.00	$72.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.30 / $145.30 / $223.40	Professional		$145.30	$145.30	$223.40
United Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Facility		$61.98	$61.98	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $53.17 / $77.09	Professional		$40.58	$53.17	$77.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $181.62 / $589.04 / $589.04	Facility		$181.62	$589.04	$589.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $670.92 / $670.92 / $908.10	Professional		$670.92	$670.92	$908.10