Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $13.26 / $13.26	Professional		$12.79	$13.26	$13.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $99.74 / $109.71	Professional		$92.59	$99.74	$109.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $13.26 / $400.62	Facility		$10.92	$13.26	$400.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $10.92 / $10.92	Professional		$10.92	$10.92	$10.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $15.30	Professional		$15.30	$15.30	$15.30
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $16.89	Professional		$13.00	$13.00	$16.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $80.00 / $552.50	Facility		$75.00	$80.00	$552.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,391.41 / $1,391.41 / $1,391.41	Professional		$1,391.41	$1,391.41	$1,391.41