Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $78.23 / $99.89	Facility		$16.04	$78.23	$99.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $23.62 / $32.08	Professional		$16.04	$23.62	$32.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.83 / $83.64 / $83.64	Facility		$41.83	$83.64	$83.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $25.40 / $62.93	Professional		$15.04	$25.40	$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 / $15.85 / $38.42	Professional		$9.31	$15.85	$38.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $36.00 / $46.57	Facility		$16.04	$36.00	$46.57
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 $751.43 / $751.43 / $751.43	Facility		$751.43	$751.43	$751.43
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 / $14.04 / $31.59	Professional		$10.02	$14.04	$31.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $42.06 / $95.52 / $95.52	Facility		$42.06	$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