Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $58.88	Professional		$33.11	$39.81	$58.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $117.49 / $154.88	Facility		$74.13	$117.49	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $60.26 / $64.57	Professional		$58.88	$60.26	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $47.86 / $48.98	Facility		$34.67	$47.86	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $64.57	Professional		$35.48	$35.48	$64.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $37.15 / $47.86	Professional		$34.67	$37.15	$47.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $60.26 / $109.65	Facility		$32.36	$60.26	$109.65
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 $26.92 / $47.86 / $63.10	Facility		$26.92	$47.86	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $54.95	Professional		$30.20	$38.90	$54.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $478.63	Professional		$436.52	$436.52	$478.63