Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $29.10 / $29.10	Facility		$29.10	$29.10	$29.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $29.10 / $29.10	Professional		$17.47	$29.10	$29.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $44.20 / $49.30	Facility		$26.65	$44.20	$49.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $24.92 / $26.58	Professional		$23.13	$24.92	$26.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.01 / $18.01	Professional		$13.56	$18.01	$18.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $29.10 / $48.18	Facility		$24.97	$29.10	$48.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $24.97 / $56.92	Professional		$21.00	$24.97	$56.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $45.10 / $65.50	Professional		$24.70	$45.10	$65.50
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.57 / $26.01	Professional		$11.75	$16.57	$26.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $85.00 / $157.84	Facility		$67.45	$85.00	$157.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $165.49 / $165.49 / $249.23	Professional		$165.49	$165.49	$249.23