Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $85.11	Professional		$77.62	$77.62	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $281.84	Facility		$125.89	$125.89	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $95.50	Professional		$60.26	$89.13	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $85.11 / $158.49	Facility		$77.62	$85.11	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $194.98 / $245.47	Professional		$0.60	$194.98	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $138.04 / $154.88	Facility		$83.18	$138.04	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $125.89	Professional		$77.62	$83.18	$125.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19