Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $71.70 / $145.54	Facility		$71.70	$71.70	$145.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $71.70 / $71.70	Professional		$45.28	$71.70	$71.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $92.71 / $176.02	Facility		$77.26	$92.71	$176.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $72.26 / $72.26	Professional		$54.92	$72.26	$72.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.60 / $60.21 / $60.21	Facility		$59.60	$60.21	$60.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $60.21 / $130.13	Professional		$43.95	$60.21	$130.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.03 / $71.70 / $108.51	Facility		$31.03	$71.70	$108.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $68.00	Professional		$54.00	$54.00	$68.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $115.60 / $177.80	Professional		$115.60	$115.60	$177.80
United Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $48.27 / $75.41	Professional		$41.85	$48.27	$75.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $201.97 / $610.23 / $610.23	Facility		$201.97	$610.23	$610.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $653.85 / $653.85 / $722.63	Professional		$653.85	$653.85	$722.63