Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $49.94 / $240.72	Facility		$20.36	$49.94	$240.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $22.77 / $61.69	Professional		$11.36	$22.77	$61.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.60 / $77.09 / $94.10	Facility		$62.60	$77.09	$94.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $11.68 / $75.38	Professional		$11.68	$11.68	$75.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $11.36 / $11.36	Facility		$11.36	$11.36	$11.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $42.00	Professional		$11.36	$11.36	$42.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $22.77 / $46.20	Facility		$13.52	$22.77	$46.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $15.82 / $15.82	Professional		$15.82	$15.82	$15.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,930.85 / $2,930.85 / $10,270.62	Facility		$2,930.85	$2,930.85	$10,270.62
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $17.61	Professional		$11.36	$11.36	$17.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00