Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.53 / $62.53 / $126.91	Facility		$62.53	$62.53	$126.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $62.53 / $62.53	Professional		$40.78	$62.53	$62.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $124.63 / $153.49	Facility		$76.56	$124.63	$153.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $63.01 / $69.31	Professional		$58.49	$63.01	$69.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.97 / $59.87 / $59.87	Facility		$51.97	$59.87	$59.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $59.87 / $107.25	Professional		$43.71	$59.87	$107.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $62.53 / $98.82	Facility		$27.06	$62.53	$98.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $59.00	Professional		$47.00	$47.00	$59.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.30 / $113.30 / $174.10	Professional		$113.30	$113.30	$174.10
United Facility/Professional Professional Modifier Low / Median / High Price $34.93 / $41.92 / $65.76	Professional		$34.93	$41.92	$65.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $168.96 / $532.10 / $532.10	Facility		$168.96	$532.10	$532.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $554.50 / $554.50 / $707.93	Professional		$554.50	$554.50	$707.93