Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $12.83 / $55.00	Facility		$11.88	$12.83	$55.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $29.95 / $64.77 / $212.68	Facility	CQ	$29.95	$64.77	$212.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.88 / $22.02	Professional		$8.22	$11.88	$22.02
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $58.41 / $68.56 / $68.56	Professional	CO	$58.41	$68.56	$68.56
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $58.41 / $68.56 / $68.56	Professional	CQ	$58.41	$68.56	$68.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $23.97 / $29.52	Facility		$15.93	$23.97	$29.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $10.64 / $18.26	Professional		$8.86	$10.64	$18.26
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 $9.28 / $14.39 / $108.10	Professional		$9.28	$14.39	$108.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $12.44 / $24.00	Facility		$10.89	$12.44	$24.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $12.40 / $20.00	Professional		$11.69	$12.40	$20.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.28 / $223.21 / $436.39	Facility		$208.28	$223.21	$436.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $20.13 / $25.47	Professional		$12.39	$20.13	$25.47
United Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $12.81 / $19.92	Professional		$10.86	$12.81	$19.92
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 $26.96 / $42.50 / $62.22	Facility	CQ	$26.96	$42.50	$62.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $89.91 / $117.68	Professional		$89.91	$89.91	$117.68