Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.75 / $190.74 / $249.96	Facility		$27.75	$190.74	$249.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $28.05 / $63.45	Professional		$26.00	$28.05	$63.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $46.17 / $102.75	Facility		$34.63	$46.17	$102.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $46.11 / $75.28	Professional		$26.50	$46.11	$75.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.75 / $43.00 / $72.64	Facility		$27.75	$43.00	$72.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $24.00 / $38.64	Professional		$10.00	$24.00	$38.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $40.40 / $61.50	Professional		$29.40	$40.40	$61.50
United Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $39.96 / $71.15	Professional		$26.75	$39.96	$71.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $228.72 / $359.91 / $359.91	Facility		$228.72	$359.91	$359.91
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $204.50 / $204.50 / $264.38	Professional		$204.50	$204.50	$264.38