Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.09 / $22.09 / $44.84	Facility		$22.09	$22.09	$44.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $22.09 / $22.09	Professional		$12.86	$22.09	$22.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $28.56 / $54.22	Facility		$23.80	$28.56	$54.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $22.26 / $24.49	Professional		$20.66	$22.26	$24.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $16.89 / $18.37	Facility		$16.89	$16.89	$18.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $16.89 / $31.50	Professional		$12.34	$16.89	$31.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $22.09 / $33.10	Facility		$8.13	$22.09	$33.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $21.00	Professional		$17.00	$17.00	$21.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $31.70 / $48.70	Professional		$31.70	$31.70	$48.70
United Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $14.81 / $20.91	Professional		$11.38	$14.81	$20.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $147.25 / $147.25	Facility		$75.00	$147.25	$147.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $166.57 / $166.57 / $197.85	Professional		$166.57	$166.57	$197.85