Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $107.15 / $112.20	Facility		$26.92	$107.15	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $33.11	Professional		$21.88	$26.92	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $102.33 / $104.71	Facility		$66.07	$102.33	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $33.88 / $100.00	Professional		$15.14	$33.88	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $53.70 / $89.13	Facility		$25.70	$53.70	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.20 / $48.98	Facility		$24.55	$30.20	$48.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $57.54	Professional		$51.29	$51.29	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $39.81 / $41.69	Facility		$20.42	$39.81	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $37.15	Professional		$14.13	$20.42	$37.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $251.19	Professional		$169.82	$169.82	$251.19