Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $10.00	Professional		$2.00	$2.00	$10.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $11.22 / $12.30	Facility		$10.47	$11.22	$12.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $13.18 / $14.13	Professional		$2.51	$13.18	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Facility		$2.51	$2.51	$2.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $12.30	Professional		$2.51	$2.51	$12.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $10.23 / $16.60	Facility		$2.51	$10.23	$16.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $194.98 / $245.47	Professional		$0.60	$194.98	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $15.14 / $16.98	Facility		$9.12	$15.14	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.59 / $125.89	Professional		$9.12	$12.59	$125.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32