Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $19.20 / $45.73	Facility		$16.03	$19.20	$45.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $17.48 / $24.81	Professional		$16.04	$17.48	$24.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.56 / $83.64 / $83.64	Facility		$42.56	$83.64	$83.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $24.46 / $64.56	Professional		$15.04	$24.46	$64.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $21.23 / $52.49	Facility		$13.68	$21.23	$52.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $15.85 / $38.42	Professional		$9.40	$15.85	$38.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $28.72 / $44.83	Facility		$16.04	$28.72	$44.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $28.72 / $37.00	Professional		$26.32	$28.72	$37.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $21.15	Professional		$20.05	$20.05	$21.15
United Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $24.06 / $24.06	Facility		$24.06	$24.06	$24.06
United Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $13.68 / $27.36	Professional		$9.67	$13.68	$27.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $95.52 / $95.52	Facility		$55.00	$95.52	$95.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $164.83 / $164.83	Professional		$153.93	$164.83	$164.83