Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $110.59 / $20,340.25	Facility		$29.53	$110.59	$20,340.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $69.37 / $95.37	Professional		$29.53	$69.37	$95.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.65 / $124.47 / $154.96	Facility		$84.65	$124.47	$154.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $80.34 / $100.44	Professional		$80.34	$80.34	$100.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $69.37 / $95.37	Facility		$63.71	$69.37	$95.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $87.26	Professional		$69.37	$69.37	$87.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $36.40 / $121.40	Facility		$29.53	$36.40	$121.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $76.76 / $104.00	Professional		$36.40	$76.76	$104.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $110.99 / $132.84	Professional		$89.70	$110.99	$132.84
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $73.53 / $83.24	Professional		$69.37	$73.53	$83.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $457.60 / $457.60	Facility		$112.20	$457.60	$457.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $317.82 / $317.82 / $317.82	Professional		$317.82	$317.82	$317.82