Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.66 / $83.66 / $144.32	Facility		$83.66	$83.66	$144.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $83.66 / $83.66	Professional		$41.77	$83.66	$83.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $91.91 / $174.53	Facility		$76.59	$91.91	$174.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $71.66 / $71.66	Professional		$54.46	$71.66	$71.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.11 / $61.81 / $61.81	Facility		$59.11	$61.81	$61.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $61.81 / $110.63	Professional		$45.12	$61.81	$110.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $83.66 / $108.76	Facility		$30.77	$83.66	$108.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $64.95	Professional		$54.00	$54.00	$64.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.10 / $151.10 / $232.40	Professional		$151.10	$151.10	$232.40
United Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $47.66 / $74.77	Professional		$36.61	$47.66	$74.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $188.91 / $605.05 / $605.05	Facility		$188.91	$605.05	$605.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $693.95 / $693.95 / $944.55	Professional		$693.95	$693.95	$944.55