Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $26.30 / $66.07	Facility		$15.85	$26.30	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $28.18	Professional		$14.13	$16.98	$28.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $87.10 / $87.10	Facility		$42.66	$87.10	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $24.55 / $28.18	Professional		$15.14	$24.55	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $31.62 / $52.48	Facility		$13.80	$31.62	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.78 / $40.74	Professional		$9.33	$17.78	$40.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $28.18 / $51.29	Facility		$16.22	$28.18	$51.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $21.38	Professional		$19.95	$19.95	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.30 / $34.67	Facility		$17.38	$26.30	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.13 / $31.62	Professional		$8.51	$14.13	$31.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $165.96	Professional		$154.88	$165.96	$165.96