Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.69 / $42.78 / $104.03	Facility		$33.69	$42.78	$104.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $42.78 / $56.68	Professional		$35.56	$42.78	$56.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $135.81 / $135.81	Facility		$98.45	$135.81	$135.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $40.10 / $89.88	Professional		$29.58	$40.10	$89.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $74.67 / $140.56	Facility		$36.97	$74.67	$140.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $43.94 / $77.78	Professional		$22.54	$43.94	$77.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $60.00 / $93.00	Facility		$42.78	$60.00	$93.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $46.65 / $63.39	Professional		$46.65	$46.65	$63.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $56.41 / $135.00	Professional		$34.76	$56.41	$135.00
United Facility/Professional Facility Modifier Low / Median / High Price $49.51 / $58.61 / $63.09	Facility		$49.51	$58.61	$63.09
United Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $32.08 / $53.47	Professional		$22.46	$32.08	$53.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $93.04 / $253.98 / $253.98	Facility		$93.04	$253.98	$253.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $287.45 / $287.45 / $401.03	Professional		$287.45	$287.45	$401.03