Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.93 / $35.93 / $35.93	Facility		$35.93	$35.93	$35.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $35.93 / $35.93	Professional		$21.57	$35.93	$35.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $39.49 / $74.95	Facility		$32.90	$39.49	$74.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $30.78 / $32.83	Professional		$28.57	$30.78	$32.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $20.95	Professional		$20.95	$20.95	$20.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.84 / $35.93 / $59.51	Facility		$30.84	$35.93	$59.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $30.84 / $70.29	Professional		$26.00	$30.84	$70.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $55.60 / $80.80	Professional		$30.70	$55.60	$80.80
United Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $20.47 / $32.11	Professional		$15.62	$20.47	$32.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.00 / $194.94	Facility		$80.00	$85.00	$194.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $204.38 / $204.38 / $307.80	Professional		$204.38	$204.38	$307.80