Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $44.67	Professional		$21.88	$37.15	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $51.29 / $104.71	Facility		$42.66	$51.29	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $42.66	Professional		$38.90	$39.81	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $35.48	Professional		$21.38	$29.51	$35.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.30 / $37.15	Professional		$23.99	$26.30	$37.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $45.71 / $77.62	Facility		$22.91	$45.71	$77.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $20.42 / $33.88	Facility		$16.60	$20.42	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $37.15	Professional		$18.62	$25.12	$37.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $389.05	Professional		$257.04	$257.04	$389.05