Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $94.38 / $795.44	Facility		$27.37	$94.38	$795.44
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $56.53 / $68.56 / $471.14	Facility	CO	$56.53	$68.56	$471.14
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $36.58 / $45.56 / $62.40	Facility	CQ	$36.58	$45.56	$62.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $24.91 / $55.37	Professional		$14.40	$24.91	$55.37
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 $56.53 / $69.80 / $79.19	Professional	CQ	$56.53	$69.80	$79.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.12 / $56.56 / $69.66	Facility		$43.12	$56.56	$69.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $24.83 / $49.47	Professional		$21.46	$24.83	$49.47
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 $23.19 / $36.74 / $111.17	Professional		$23.19	$36.74	$111.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.26 / $31.23 / $58.61	Facility		$23.26	$31.23	$58.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $28.80 / $31.93	Professional		$24.76	$28.80	$31.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $33.63 / $51.86	Professional		$28.03	$33.63	$51.86
United Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $33.49 / $51.39	Professional		$27.60	$33.49	$51.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $68.92 / $120.87 / $170.34	Facility		$68.92	$120.87	$170.34
Wellcare Facility/Professional Facility Modifier CO Low / Median / High Price $42.50 / $61.71 / $144.79	Facility	CO	$42.50	$61.71	$144.79
Wellcare Facility/Professional Facility Modifier CQ Low / Median / High Price $42.50 / $61.71 / $144.79	Facility	CQ	$42.50	$61.71	$144.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $207.96 / $207.96 / $270.23	Professional		$207.96	$207.96	$270.23