Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $45.96 / $5,419.03	Facility		$45.96	$45.96	$5,419.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $45.96 / $55.39	Professional		$45.96	$45.96	$55.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $36.81 / $90.25	Facility		$32.84	$36.81	$90.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $48.85 / $49.76	Professional		$42.75	$48.85	$49.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.77 / $52.75 / $52.75	Facility		$49.77	$52.75	$52.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $52.75 / $52.75	Professional		$44.31	$52.75	$52.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $45.96 / $72.19	Facility		$22.12	$45.96	$72.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $22.12 / $62.06	Professional		$22.12	$22.12	$62.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $49.00 / $98.60	Professional		$35.60	$49.00	$98.60
United Facility/Professional Facility Modifier Low / Median / High Price $59.60 / $59.60 / $80.59	Facility		$59.60	$59.60	$80.59
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $68.58	Professional		$52.75	$52.75	$68.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $140.53 / $213.92	Facility		$75.00	$140.53	$213.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $213.92 / $213.92 / $213.92	Professional		$213.92	$213.92	$213.92