Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $23.68 / $48.04	Facility		$23.68	$23.68	$48.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $23.68 / $23.68	Professional		$14.23	$23.68	$23.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.96 / $47.19 / $58.12	Facility		$28.96	$47.19	$58.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $23.87 / $25.46	Professional		$22.15	$23.87	$25.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $25.14 / $25.14	Facility		$25.14	$25.14	$25.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $25.14 / $36.75	Professional		$21.37	$25.14	$36.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $23.68 / $35.85	Facility		$9.11	$23.68	$35.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $22.31 / $22.31	Professional		$22.31	$22.31	$22.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $37.10 / $57.00	Professional		$37.10	$37.10	$57.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $15.88 / $22.41	Professional		$12.19	$15.88	$22.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $146.68 / $146.68	Facility		$80.00	$146.68	$146.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $159.66 / $159.66 / $231.60	Professional		$159.66	$159.66	$231.60