Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $41.69 / $134.90	Facility		$32.36	$41.69	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $53.70	Professional		$25.70	$32.36	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $114.82 / $114.82	Facility		$83.18	$114.82	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $83.18	Professional		$28.18	$37.15	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $64.57 / $107.15	Facility		$27.54	$64.57	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.90 / $61.66	Professional		$17.78	$30.90	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $44.67 / $77.62	Facility		$32.36	$44.67	$77.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $42.66	Professional		$40.74	$40.74	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $45.71 / $47.86	Facility		$22.91	$45.71	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.12 / $64.57	Professional		$22.39	$25.12	$64.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $398.11	Professional		$302.00	$398.11	$398.11