Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.89 / $27.89 / $27.89	Facility		$27.89	$27.89	$27.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $27.89 / $27.89	Professional		$16.73	$27.89	$27.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $47.25 / $58.19	Facility		$29.01	$47.25	$58.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $23.90 / $25.49	Professional		$22.18	$23.90	$25.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Professional		$16.27	$16.27	$16.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $27.89 / $46.20	Facility		$23.93	$27.89	$46.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $23.93 / $54.57	Professional		$21.00	$23.93	$54.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $43.20 / $62.80	Professional		$23.80	$43.20	$62.80
United Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $15.89 / $24.93	Professional		$12.13	$15.89	$24.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $64.68 / $85.00 / $151.34	Facility		$64.68	$85.00	$151.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $158.66 / $238.95	Professional		$158.66	$158.66	$238.95