Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $57.92 / $117.57	Facility		$57.92	$57.92	$117.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $57.92 / $57.92	Professional		$31.58	$57.92	$57.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $74.88 / $142.16	Facility		$62.40	$74.88	$142.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $58.37 / $62.26	Professional		$54.18	$58.37	$62.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $48.13	Facility		$37.03	$37.03	$48.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $37.03 / $68.63	Professional		$27.03	$37.03	$68.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $57.92 / $86.78	Facility		$19.07	$57.92	$86.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $44.00 / $55.00	Professional		$44.00	$44.00	$55.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $71.09 / $109.30	Professional		$71.09	$71.09	$109.30
United Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $38.82 / $54.82	Professional		$29.56	$38.82	$54.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $126.07 / $375.25 / $375.25	Facility		$126.07	$375.25	$375.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $408.06 / $408.06 / $444.38	Professional		$408.06	$408.06	$444.38