Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.44 / $63.44 / $128.74	Facility		$63.44	$63.44	$128.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $63.44 / $63.44	Professional		$39.27	$63.44	$63.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.66 / $126.42 / $155.69	Facility		$77.66	$126.42	$155.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $63.92 / $63.92	Professional		$48.58	$63.92	$63.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $52.72	Facility		$50.36	$50.36	$52.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $50.36 / $90.38	Professional		$36.76	$50.36	$90.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $63.44 / $99.05	Facility		$25.07	$63.44	$99.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $60.00	Professional		$48.00	$48.00	$60.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $108.90 / $167.50	Professional		$108.90	$108.90	$167.50
United Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $42.70 / $61.66	Professional		$32.67	$42.70	$61.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $146.36 / $404.35 / $404.35	Facility		$146.36	$404.35	$404.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $490.30 / $490.30 / $680.93	Professional		$490.30	$490.30	$680.93