Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $93.72 / $109.94	Facility		$38.04	$93.72	$109.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $55.73 / $80.95	Professional		$25.15	$55.73	$80.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $76.48 / $218.51	Professional		$24.07	$76.48	$218.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $42.21 / $42.21	Facility		$42.21	$42.21	$42.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $82.24 / $165.21	Professional		$31.55	$82.24	$165.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $70.93 / $93.60	Facility		$26.61	$70.93	$93.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $86.51 / $182.60	Professional		$66.48	$86.51	$182.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $154.30 / $195.30	Professional		$112.10	$154.30	$195.30
United Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $87.69 / $186.37	Professional		$69.02	$87.69	$186.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $125.07 / $125.07 / $125.07	Facility		$125.07	$125.07	$125.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $466.88 / $703.88	Professional		$167.46	$466.88	$703.88