Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.20 / $83.20 / $83.20	Facility		$83.20	$83.20	$83.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $83.20 / $165.35	Professional		$30.35	$83.20	$165.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.94 / $168.58 / $178.04	Facility		$140.94	$168.58	$178.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $71.27 / $76.02	Professional		$66.15	$71.27	$76.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Professional		$38.77	$38.77	$38.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $89.00 / $139.63	Facility		$64.75	$89.00	$139.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $64.75 / $162.74	Professional		$64.75	$64.75	$162.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.79 / $104.67 / $162.61	Professional		$92.79	$104.67	$162.61
United Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $45.72 / $74.36	Professional		$35.92	$45.72	$74.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $159.63 / $192.89 / $451.35	Facility		$159.63	$192.89	$451.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $663.33 / $663.33 / $712.65	Professional		$663.33	$663.33	$712.65