Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.92 / $82.92 / $168.24	Facility		$82.92	$82.92	$168.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.84 / $82.92 / $82.92	Professional		$49.84	$82.92	$82.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.46 / $165.26 / $203.52	Facility		$101.46	$165.26	$203.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $83.56 / $89.13	Professional		$75.20	$83.56	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $87.96 / $87.96	Facility		$87.96	$87.96	$87.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $87.96 / $128.25	Professional		$74.77	$87.96	$128.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $82.92 / $125.55	Facility		$31.87	$82.92	$125.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $78.13 / $78.13	Professional		$78.13	$78.13	$78.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $129.69 / $199.50	Professional		$129.69	$129.69	$199.50
United Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $55.58 / $80.59	Professional		$42.69	$55.58	$80.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $186.08 / $513.52 / $513.52	Facility		$186.08	$513.52	$513.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $558.71 / $558.71 / $810.83	Professional		$558.71	$558.71	$810.83