Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $93.00 / $93.00	Facility		$93.00	$93.00	$93.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $93.00 / $98.98	Professional		$48.00	$93.00	$98.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $100.00 / $177.26	Professional		$50.02	$100.00	$177.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $62.26 / $62.26	Facility		$62.26	$62.26	$62.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $45.92 / $45.92	Professional		$45.92	$45.92	$45.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.44 / $66.34 / $111.60	Facility		$55.44	$66.34	$111.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $72.00 / $77.00	Professional		$56.03	$72.00	$77.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.20 / $172.10 / $209.20	Professional		$121.20	$172.10	$209.20
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $72.00 / $152.43	Professional		$54.00	$72.00	$152.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $107.31 / $306.38 / $306.38	Facility		$107.31	$306.38	$306.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $362.37 / $472.43 / $472.43	Professional		$362.37	$472.43	$472.43