Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.51 / $93.51 / $142.05	Facility		$93.51	$93.51	$142.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $93.51 / $93.51	Professional		$67.62	$93.51	$93.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.29 / $158.41 / $195.09	Facility		$97.29	$158.41	$195.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $80.09 / $85.43	Professional		$72.08	$80.09	$85.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $45.55 / $153.75	Professional		$45.55	$45.55	$153.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.56 / $93.51 / $121.56	Facility		$30.56	$93.51	$121.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $74.92 / $74.92	Professional		$74.92	$74.92	$74.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.40 / $124.40 / $191.30	Professional		$124.40	$124.40	$191.30
United Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $52.80 / $83.58	Professional		$35.52	$52.80	$83.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $178.43 / $492.39 / $492.39	Facility		$178.43	$492.39	$492.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $535.65 / $535.65 / $777.45	Professional		$535.65	$535.65	$777.45