Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.06 / $31.06 / $53.57	Facility		$31.06	$31.06	$53.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $31.06 / $31.06	Professional		$15.14	$31.06	$31.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $34.11 / $64.81	Facility		$28.42	$34.11	$64.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $26.60 / $28.38	Professional		$23.94	$26.60	$28.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $24.27 / $24.27	Facility		$12.00	$24.27	$24.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $24.27 / $40.88	Professional		$12.00	$24.27	$40.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $31.06 / $40.38	Facility		$10.14	$31.06	$40.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $22.00 / $24.11	Professional		$20.00	$22.00	$24.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $63.50 / $67.93	Professional		$41.30	$63.50	$67.93
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $17.54 / $25.66	Professional		$13.00	$17.54	$25.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $164.13 / $164.13	Facility		$75.00	$164.13	$164.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $177.29 / $258.00 / $258.00	Professional		$177.29	$258.00	$258.00