Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.71 / $69.52 / $131.01	Facility		$41.71	$69.52	$131.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $76.59 / $129.82	Professional		$41.71	$76.59	$129.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $100.80 / $200.79	Professional		$54.27	$100.80	$200.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.37 / $104.37 / $606.10	Facility		$104.37	$104.37	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $90.87 / $178.44	Professional		$51.25	$90.87	$178.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.71 / $93.74 / $135.11	Facility		$41.71	$93.74	$135.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $105.00 / $115.00	Professional		$93.74	$105.00	$115.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $119.60 / $225.20	Professional		$3.00	$119.60	$225.20
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $99.53 / $229.18	Professional		$68.70	$99.53	$229.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $216.51 / $216.51	Facility		$55.00	$216.51	$216.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $349.28 / $643.36 / $767.78	Professional		$349.28	$643.36	$767.78