Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $41.39 / $115.32	Facility		$24.64	$41.39	$115.32
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $51.70 / $69.12 / $139.99	Facility	CQ	$51.70	$69.12	$139.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $20.75 / $48.44	Professional		$14.40	$20.75	$48.44
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.66 / $46.44 / $68.56	Professional	CQ	$21.66	$46.44	$68.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.31 / $50.31 / $61.96	Facility		$35.31	$50.31	$61.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $22.12 / $40.49	Professional		$18.00	$22.12	$40.49
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 $19.22 / $30.69 / $106.98	Professional		$19.22	$30.69	$106.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.83 / $26.33 / $49.04	Facility		$21.83	$26.33	$49.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $23.77 / $26.33	Professional		$20.00	$23.77	$26.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $236.63 / $247.61 / $739.01	Facility		$236.63	$247.61	$739.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $42.37 / $52.95	Professional		$25.22	$42.37	$52.95
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $27.58 / $39.74	Professional		$23.33	$27.58	$39.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $53.97 / $110.44 / $152.00	Facility		$53.97	$110.44	$152.00
Wellcare Facility/Professional Facility Modifier CQ Low / Median / High Price $42.50 / $56.39 / $129.19	Facility	CQ	$42.50	$56.39	$129.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $186.26 / $186.26 / $241.95	Professional		$186.26	$186.26	$241.95