Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.21 / $139.40 / $139.40	Facility		$45.21	$139.40	$139.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $27.83 / $54.75	Professional		$26.51	$27.83	$54.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.49 / $132.49 / $163.16	Facility		$132.49	$132.49	$163.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $29.92 / $104.32	Professional		$29.92	$29.92	$104.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $26.51 / $73.12	Facility		$20.83	$26.51	$73.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $76.16	Professional		$26.51	$26.51	$76.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $60.21 / $94.62	Facility		$34.83	$60.21	$94.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $50.00 / $60.21	Professional		$49.09	$50.00	$60.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $42.41 / $119.00	Professional		$34.36	$42.41	$119.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $28.10 / $36.53	Professional		$26.51	$28.10	$36.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $86.02 / $162.40 / $162.40	Facility		$86.02	$162.40	$162.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $253.17 / $253.17 / $253.17	Professional		$253.17	$253.17	$253.17