Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $23.68 / $53.01	Facility		$23.68	$23.68	$53.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $23.68 / $27.96	Professional		$19.68	$23.68	$27.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $41.43 / $77.40	Facility		$22.49	$41.43	$77.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $32.89 / $49.34	Facility		$23.68	$32.89	$49.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $32.89	Professional		$21.38	$21.38	$32.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $45.29 / $49.96	Professional		$45.29	$45.29	$49.96
United Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $17.76 / $32.89	Professional		$14.80	$17.76	$32.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $51.50 / $140.60 / $140.60	Facility		$51.50	$140.60	$140.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $148.00 / $222.00	Professional		$148.00	$148.00	$222.00