Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $85.00 / $85.00	Professional		$67.27	$85.00	$85.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $52.34 / $57.57	Professional		$48.59	$52.34	$57.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $67.27 / $67.27	Facility		$63.47	$67.27	$67.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $95.20	Professional		$67.27	$67.27	$95.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $85.00 / $228.17	Facility		$42.28	$85.00	$228.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $93.30 / $93.30	Professional		$93.30	$93.30	$93.30
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $87.45	Professional		$67.27	$67.27	$87.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $176.32 / $176.32 / $333.17	Facility		$176.32	$176.32	$333.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $410.00 / $410.00	Professional		$410.00	$410.00	$410.00