Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $21.28 / $21.28	Facility		$21.28	$21.28	$21.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $21.28 / $21.28	Professional		$19.48	$21.28	$21.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.13 / $49.42 / $56.46	Facility		$40.13	$49.42	$56.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $20.88 / $36.38	Professional		$19.48	$20.88	$36.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $19.48 / $19.48	Facility		$18.38	$19.48	$19.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $30.00	Professional		$19.48	$19.48	$30.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $22.66 / $33.00	Facility		$21.08	$22.66	$33.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $22.66 / $22.66	Professional		$22.66	$22.66	$22.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $27.30 / $43.80	Professional		$27.30	$27.30	$43.80
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $25.32	Professional		$19.48	$19.48	$25.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $85.00	Facility		$75.00	$85.00	$85.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $114.00 / $135.00	Professional		$114.00	$114.00	$135.00