Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $38.02	Professional		$16.98	$19.95	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.70 / $93.33	Professional		$16.22	$25.70	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $36.31 / $63.10	Professional		$20.42	$36.31	$63.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.91 / $47.86	Facility		$17.78	$22.91	$47.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.20 / $39.81	Professional		$17.38	$30.20	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.20 / $51.29	Professional		$17.78	$30.20	$51.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53