Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $20.58 / $20.58	Facility		$20.58	$20.58	$20.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $20.58 / $20.58	Professional		$12.35	$20.58	$20.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $34.86 / $42.94	Facility		$21.41	$34.86	$42.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $17.63 / $18.80	Professional		$16.36	$17.63	$18.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $20.58 / $34.08	Facility		$17.66	$20.58	$34.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $17.66 / $40.25	Professional		$15.00	$17.66	$40.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $31.90 / $46.30	Professional		$17.50	$31.90	$46.30
United Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $11.72 / $18.38	Professional		$8.94	$11.72	$18.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $85.00 / $111.63	Facility		$47.71	$85.00	$111.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $117.03 / $117.03 / $176.25	Professional		$117.03	$117.03	$176.25