Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $35.92	Facility		$35.90	$35.90	$35.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $53.88	Professional		$35.92	$35.92	$53.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.85 / $74.94 / $76.73	Facility		$60.85	$74.94	$76.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $34.11 / $69.98	Professional		$26.93	$34.11	$69.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $29.68 / $74.81	Facility		$27.30	$29.68	$74.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Professional		$35.90	$35.90	$35.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $53.47	Facility		$35.90	$35.90	$53.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Professional		$35.90	$35.90	$35.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $54.96 / $68.79	Professional		$39.51	$54.96	$68.79
United Facility/Professional Facility Modifier Low / Median / High Price $43.10 / $43.10 / $43.10	Facility		$43.10	$43.10	$43.10
United Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $21.55 / $37.00	Professional		$17.96	$21.55	$37.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $62.50 / $170.62 / $170.62	Facility		$62.50	$170.62	$170.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $178.88 / $178.88 / $269.39	Professional		$178.88	$178.88	$269.39