Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $28.90 / $28.90	Facility		$28.90	$28.90	$28.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $28.90 / $28.90	Professional		$15.92	$28.90	$28.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $20.22 / $22.24	Professional		$18.77	$20.22	$22.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $54.94 / $54.94	Facility		$54.94	$54.94	$54.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $54.94 / $54.94	Professional		$40.11	$54.94	$54.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $28.90 / $37.57	Facility		$15.04	$28.90	$37.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $35.07 / $85.00	Professional		$35.07	$35.07	$85.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $40.90 / $40.90	Professional		$40.90	$40.90	$40.90
United Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $18.64 / $28.87	Professional		$15.32	$18.64	$28.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $165.11 / $165.11	Facility		$75.00	$165.11	$165.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $220.50 / $254.55 / $254.55	Professional		$220.50	$254.55	$254.55