Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $73.31 / $104.08	Facility		$16.04	$73.31	$104.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $23.19 / $32.08	Professional		$16.04	$23.19	$32.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $41.83 / $68.87	Facility		$33.97	$41.83	$68.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $25.63 / $62.93	Professional		$15.04	$25.63	$62.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $27.94 / $52.49	Facility		$15.23	$27.94	$52.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $18.61 / $40.18	Professional		$9.31	$18.61	$40.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $37.00 / $52.92	Facility		$16.04	$37.00	$52.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $21.62 / $28.72	Professional		$21.62	$21.62	$28.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $153.21 / $153.21 / $153.21	Facility		$153.21	$153.21	$153.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $13.03 / $21.15	Professional		$13.03	$13.03	$21.15
United Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $14.01 / $28.02	Professional		$10.02	$14.01	$28.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $95.52 / $95.52	Facility		$36.72	$95.52	$95.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $180.90 / $180.90	Professional		$180.90	$180.90	$180.90