Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $21.90 / $109.98	Facility		$12.24	$21.90	$109.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $12.24 / $22.69	Professional		$9.72	$12.24	$22.69
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $47.28 / $58.41 / $68.56	Professional	CQ	$47.28	$58.41	$68.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $24.68 / $30.39	Facility		$20.87	$24.68	$30.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $10.95 / $25.93	Professional		$9.58	$10.95	$25.93
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 $12.24 / $17.72 / $108.10	Professional		$12.24	$17.72	$108.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $15.91 / $30.59	Facility		$11.32	$15.91	$30.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $17.23 / $20.00	Professional		$15.30	$17.23	$20.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $20.75 / $26.22	Professional		$12.75	$20.75	$26.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $14.84 / $21.71	Professional		$12.40	$14.84	$21.71
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 $91.95 / $91.95 / $119.55	Professional		$91.95	$91.95	$119.55