Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $78.23 / $103.30	Facility		$16.04	$78.23	$103.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $21.93 / $37.29	Professional		$16.04	$21.93	$37.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $53.20 / $77.79	Facility		$33.97	$53.20	$77.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $24.46 / $68.01	Professional		$15.04	$24.46	$68.01
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 $421.32 / $421.32 / $421.32	Facility		$421.32	$421.32	$421.32
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 / $14.36 / $31.59	Professional		$10.02	$14.36	$31.59
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 $166.43 / $166.43 / $166.43	Professional		$166.43	$166.43	$166.43