Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $36.40 / $62.79	Facility		$36.40	$36.40	$62.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $36.40 / $36.40	Professional		$17.75	$36.40	$36.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.88 / $61.67 / $75.95	Facility		$37.88	$61.67	$75.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $31.19 / $33.26	Professional		$28.95	$31.19	$33.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $23.09 / $23.09	Facility		$15.00	$23.09	$23.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $23.09 / $48.00	Professional		$15.00	$23.09	$48.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $36.40 / $47.33	Facility		$11.90	$36.40	$47.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $30.86	Professional		$24.00	$24.00	$30.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $74.50 / $79.63	Professional		$48.40	$74.50	$79.63
United Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $20.56 / $32.54	Professional		$15.26	$20.56	$32.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $192.63 / $192.63	Facility		$75.00	$192.63	$192.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $208.46 / $302.63 / $302.63	Professional		$208.46	$302.63	$302.63