Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $77.62	Professional		$41.69	$57.54	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $97.72 / $194.98	Facility		$81.28	$97.72	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $83.18	Professional		$74.13	$75.86	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $60.26 / $60.26	Facility		$43.65	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $79.43	Professional		$43.65	$43.65	$79.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $60.26	Professional		$51.29	$56.23	$60.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $81.28 / $138.04	Facility		$41.69	$81.28	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $67.61 / $79.43	Facility		$37.15	$67.61	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $69.18	Professional		$38.02	$48.98	$69.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $724.44	Professional		$645.65	$645.65	$724.44