Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $13.85 / $142.00	Facility		$9.90	$13.85	$142.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $17.77 / $68.50 / $111.40	Facility	CQ	$17.77	$68.50	$111.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $11.05 / $19.28	Professional		$7.91	$11.05	$19.28
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.39 / $30.10 / $171.39	Professional	CQ	$21.39	$30.10	$171.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $23.51 / $25.19	Facility		$20.45	$23.51	$25.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $10.02 / $26.31	Professional		$7.79	$10.02	$26.31
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 $9.09 / $11.37 / $28.20	Professional		$9.09	$11.37	$28.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.16 / $13.67 / $27.86	Facility		$9.16	$13.67	$27.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $16.38 / $20.00	Professional		$13.34	$16.38	$20.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $16.77 / $21.31	Professional		$10.37	$16.77	$21.31
United Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $13.58 / $23.76	Professional		$10.57	$13.58	$23.76
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 Facility Modifier CQ Low / Median / High Price $22.63 / $42.50 / $51.93	Facility	CQ	$22.63	$42.50	$51.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $83.97 / $98.63	Professional		$83.97	$83.97	$98.63