Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $21.58 / $55.00	Facility		$11.96	$21.58	$55.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $11.96 / $23.39	Professional		$9.66	$11.96	$23.39
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $32.70 / $32.70 / $38.61	Professional	CQ	$32.70	$32.70	$38.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $21.48 / $31.09	Facility		$17.89	$21.48	$31.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $13.69 / $25.65	Professional		$9.58	$13.69	$25.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $186.00 / $186.00	Facility		$186.00	$186.00	$186.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $17.42 / $108.10	Professional		$11.51	$17.42	$108.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $14.07 / $29.23	Facility		$11.18	$14.07	$29.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $15.40 / $20.00	Professional		$14.25	$15.40	$20.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $155.61 / $155.61 / $155.61	Facility		$155.61	$155.61	$155.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $20.29 / $26.22	Professional		$12.46	$20.29	$26.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $15.00 / $21.00	Professional		$12.42	$15.00	$21.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $80.00 / $100.00	Facility		$50.00	$80.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $90.21 / $90.21 / $119.55	Professional		$90.21	$90.21	$119.55