Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.87 / $66.87 / $135.72	Facility		$66.87	$66.87	$135.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $66.87 / $66.87	Professional		$39.08	$66.87	$66.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.04 / $86.45 / $164.12	Facility		$72.04	$86.45	$164.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $67.38 / $67.38	Professional		$51.21	$67.38	$67.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $55.57	Facility		$48.73	$48.73	$55.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $48.73 / $90.38	Professional		$35.57	$48.73	$90.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $66.87 / $100.93	Facility		$25.11	$66.87	$100.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $64.00	Professional		$51.00	$51.00	$64.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $93.50 / $143.90	Professional		$93.50	$93.50	$143.90
United Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Facility		$39.97	$39.97	$39.97
United Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $44.82 / $70.31	Professional		$34.44	$44.82	$70.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $140.37 / $415.88 / $415.88	Facility		$140.37	$415.88	$415.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $517.77 / $517.77 / $584.85	Professional		$517.77	$517.77	$584.85