Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $90.07 / $128.44	Facility		$49.85	$90.07	$128.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.95 / $90.07	Professional		$19.00	$19.95	$90.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.16 / $33.54 / $50.02	Facility		$19.16	$33.54	$50.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $18.19 / $33.54	Professional		$18.19	$18.19	$33.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $19.00 / $52.71	Facility		$13.34	$19.00	$52.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $61.24	Professional		$19.00	$19.00	$61.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $58.34 / $114.62	Facility		$26.00	$58.34	$114.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $38.00 / $58.34	Professional		$36.00	$38.00	$58.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $31.25 / $113.10	Professional		$30.40	$31.25	$113.10
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $20.14 / $23.75	Professional		$19.00	$20.14	$23.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $105.97 / $116.05 / $461.50	Facility		$105.97	$116.05	$461.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $121.69 / $121.69 / $145.08	Professional		$121.69	$121.69	$145.08