Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $30.12 / $36.97	Facility		$30.12	$30.12	$36.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $30.12 / $30.12	Professional		$21.78	$30.12	$30.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $51.03 / $62.84	Facility		$31.33	$51.03	$62.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $25.80 / $27.52	Professional		$23.39	$25.80	$27.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $20.66 / $22.43	Facility		$20.66	$20.66	$22.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $20.66 / $39.75	Professional		$17.55	$20.66	$39.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $30.12 / $39.39	Facility		$9.42	$30.12	$39.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.92	Professional		$22.00	$22.00	$22.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $41.30 / $63.50	Professional		$41.30	$41.30	$63.50
United Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $16.32 / $26.92	Professional		$11.44	$16.32	$26.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $163.40 / $163.40	Facility		$80.00	$163.40	$163.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $171.31 / $171.31 / $258.00	Professional		$171.31	$171.31	$258.00