Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $42.02 / $42.02	Facility		$12.26	$42.02	$42.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $42.02 / $42.02	Professional		$38.54	$42.02	$42.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $21.73 / $43.03	Facility		$21.73	$21.73	$43.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $49.12 / $90.70	Professional		$45.04	$49.12	$90.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $38.54 / $38.54	Facility		$36.36	$38.54	$38.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $74.79	Professional		$38.54	$38.54	$74.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.85 / $42.02 / $82.27	Facility		$18.85	$42.02	$82.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $19.14 / $59.56	Professional		$19.14	$19.14	$59.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $48.90 / $69.20	Professional		$40.60	$48.90	$69.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $50.10	Professional		$38.54	$38.54	$50.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $197.96	Facility		$75.00	$85.00	$197.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $197.96 / $197.96 / $199.13	Professional		$197.96	$197.96	$199.13