Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.49 / $10.42 / $20.09	Facility		$6.49	$10.42	$20.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.42 / $12.57	Professional		$10.23	$10.42	$12.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $20.43 / $21.60	Facility		$11.67	$20.43	$21.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $11.67 / $12.84	Professional		$10.65	$11.67	$12.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $10.39 / $20.81	Facility		$9.80	$10.39	$20.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $12.04	Professional		$10.39	$10.39	$12.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $10.23 / $14.59	Facility		$4.88	$10.23	$14.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $13.21 / $16.30	Professional		$4.88	$13.21	$16.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $17.09 / $19.89	Professional		$16.62	$17.09	$19.89
United Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.01 / $12.38	Professional		$10.39	$11.01	$12.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $796.88 / $796.88 / $796.88	Professional		$796.88	$796.88	$796.88