Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.39 / $89.39 / $89.39	Facility		$89.39	$89.39	$89.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $89.39 / $89.39	Professional		$68.48	$89.39	$89.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $13.78 / $15.94	Facility		$13.78	$13.78	$15.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $68.48 / $72.76	Professional		$32.97	$68.48	$72.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.61 / $68.48 / $68.48	Facility		$64.61	$68.48	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Professional		$68.48	$68.48	$68.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $68.48 / $115.97	Facility		$35.79	$68.48	$115.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $35.79 / $100.42	Professional		$35.79	$35.79	$100.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $96.40 / $96.40	Professional		$96.40	$96.40	$96.40
United Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $89.04	Professional		$68.48	$68.48	$89.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $91.10 / $108.43 / $302.37	Facility		$91.10	$108.43	$302.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $302.37 / $302.37 / $335.66	Professional		$302.37	$302.37	$335.66