Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.12 / $30.20	Professional		$15.14	$25.12	$30.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $51.29 / $69.18	Facility		$32.36	$51.29	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $26.30 / $28.18	Professional		$25.70	$26.30	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $39.81	Professional		$17.38	$17.38	$39.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.38 / $24.55	Professional		$15.85	$17.38	$24.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $30.20 / $51.29	Facility		$15.14	$30.20	$51.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $13.49 / $21.88	Facility		$10.96	$13.49	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $23.99	Professional		$12.02	$16.60	$23.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $257.04	Professional		$169.82	$169.82	$257.04