Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $39.57 / $39.57	Facility		$39.57	$39.57	$39.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $39.57 / $39.57	Professional		$28.13	$39.57	$39.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $67.03 / $82.55	Facility		$39.72	$67.03	$82.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $33.95 / $36.21	Professional		$31.51	$33.95	$36.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $29.14 / $29.14	Facility		$29.14	$29.14	$29.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $29.14 / $52.50	Professional		$21.27	$29.14	$52.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $39.57 / $48.90	Facility		$11.45	$39.57	$48.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $31.00 / $31.00	Professional		$31.00	$31.00	$31.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $54.30 / $80.50	Professional		$54.30	$54.30	$80.50
United Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $30.38 / $33.53	Facility		$17.59	$30.38	$33.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $21.32 / $35.53	Professional		$15.15	$21.32	$35.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $214.99 / $214.99	Facility		$80.00	$214.99	$214.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $225.39 / $225.39 / $339.45	Professional		$225.39	$225.39	$339.45