Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Facility		$52.00	$52.00	$52.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Professional		$52.00	$52.00	$52.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $45.75 / $50.33	Professional		$42.47	$45.75	$50.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $59.22 / $88.40	Facility		$52.00	$59.22	$88.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $59.22 / $121.99	Professional		$59.22	$59.22	$121.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $49.30 / $73.20	Professional		$47.40	$49.30	$73.20
United Facility/Professional Facility Modifier Low / Median / High Price $35.53 / $48.80 / $61.00	Facility		$35.53	$48.80	$61.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $35.53 / $59.22	Professional		$23.69	$35.53	$59.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $94.75 / $123.83 / $289.75	Facility		$94.75	$123.83	$289.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $303.77 / $457.50 / $457.50	Professional		$303.77	$457.50	$457.50