Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.01 / $127.80 / $4,311.00	Facility		$46.01	$127.80	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $64.06 / $110.46	Professional		$28.41	$64.06	$110.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $78.89 / $145.05	Professional		$37.32	$78.89	$145.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $72.00 / $139.03	Professional		$37.86	$72.00	$139.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.41 / $84.14 / $109.03	Facility		$28.41	$84.14	$109.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $84.46 / $84.46 / $84.46	Professional		$84.46	$84.46	$84.46
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $126.69 / $126.69 / $126.69	Professional	50	$126.69	$126.69	$126.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $50.52 / $140.61	Professional		$24.60	$50.52	$140.61
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $75.03 / $173.49	Professional		$57.60	$75.03	$173.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $135.80 / $135.80	Facility		$55.00	$135.80	$135.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $373.00 / $643.20 / $741.30	Professional		$373.00	$643.20	$741.30