Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $23.85 / $23.85	Facility		$12.00	$23.85	$23.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $26.94 / $28.29	Professional		$23.85	$26.94	$28.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $10.58 / $33.52	Facility		$9.61	$10.58	$33.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $50.65 / $98.96	Professional		$26.09	$50.65	$98.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $26.94 / $26.94	Facility		$25.42	$26.94	$26.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $81.59	Professional		$26.94	$26.94	$81.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $23.85 / $89.76	Facility		$10.77	$23.85	$89.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.77 / $44.04	Professional		$10.36	$10.77	$44.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $26.70 / $36.90	Professional		$22.20	$26.70	$36.90
United Facility/Professional Facility Modifier Low / Median / High Price $31.83 / $31.83 / $43.05	Facility		$31.83	$31.83	$43.05
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $35.56	Professional		$26.94	$26.94	$35.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $133.71	Facility		$75.00	$85.00	$133.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $133.71 / $133.71 / $147.24	Professional		$133.71	$133.71	$147.24