Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $24.55 / $54.95	Facility		$14.79	$24.55	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $30.90	Professional		$10.00	$14.13	$30.90
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $12.30 / $12.30 / $12.30	Professional	CO	$12.30	$12.30	$12.30
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $11.48 / $12.59 / $17.38	Professional	CQ	$11.48	$12.59	$17.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $30.20 / $40.74	Facility		$26.30	$30.20	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $27.54	Professional		$12.30	$13.80	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.14 / $28.18	Professional		$13.49	$15.14	$28.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $16.98 / $32.36	Facility		$12.59	$16.98	$32.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $28.84	Professional		$25.70	$25.70	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.78 / $25.70	Professional		$15.49	$17.78	$25.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $154.88	Professional		$147.91	$147.91	$154.88