Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Facility		$95.27	$95.27	$95.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $137.19 / $158.31	Professional		$95.27	$137.19	$158.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.31 / $152.41 / $160.03	Professional		$114.31	$152.41	$160.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.22 / $127.22 / $127.22	Facility		$127.22	$127.22	$127.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $262.35	Professional		$88.53	$88.53	$262.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $150.00 / $212.64	Facility		$95.27	$150.00	$212.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $151.32 / $670.04	Professional		$75.00	$151.32	$670.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $826.97 / $995.50 / $1,236.83	Professional		$826.97	$995.50	$1,236.83
United Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $182.50 / $328.82	Professional		$133.18	$182.50	$328.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $680.63 / $680.63	Facility		$200.00	$680.63	$680.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $858.36 / $967.43 / $967.43	Professional		$858.36	$967.43	$967.43