Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $22.25 / $22.25	Facility		$20.72	$22.25	$22.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $22.25 / $75.13	Professional		$22.25	$22.25	$75.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $13.64 / $29.64	Facility		$13.37	$13.64	$29.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $71.55 / $126.34	Professional		$22.20	$71.55	$126.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $71.55 / $71.55	Facility		$67.50	$71.55	$71.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $101.25	Professional		$71.55	$71.55	$101.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $22.25 / $114.60	Facility		$14.04	$22.25	$114.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.04 / $14.04	Professional		$14.04	$14.04	$14.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $24.60 / $100.50	Professional		$22.60	$24.60	$100.50
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $93.02	Professional		$71.55	$71.55	$93.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $101.25 / $104.18 / $202.50	Facility		$101.25	$104.18	$202.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $364.63 / $364.63 / $468.81	Professional		$364.63	$364.63	$468.81