Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $64.56 / $64.56	Facility		$64.56	$64.56	$64.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $64.56 / $64.56	Professional		$44.55	$64.56	$64.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.37 / $130.79 / $138.12	Facility		$109.37	$130.79	$138.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $55.30 / $58.98	Professional		$51.33	$55.30	$58.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $74.56 / $124.27	Facility		$64.40	$74.56	$124.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $65.76 / $126.30	Professional		$65.76	$65.76	$126.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $81.22 / $126.17	Professional		$72.00	$81.22	$126.17
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $36.46 / $57.69	Professional		$27.86	$36.46	$57.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $123.87 / $149.66 / $350.22	Facility		$123.87	$149.66	$350.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $552.98 / $674.35 / $674.35	Professional		$552.98	$674.35	$674.35