Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $53.04 / $4,283.55	Facility		$5.36	$53.04	$4,283.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.46 / $7.65	Professional		$1.22	$1.46	$7.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $86.45 / $103.74	Facility		$5.93	$86.45	$103.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $8.77 / $16.88	Professional		$1.59	$8.77	$16.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $1.22 / $85.00	Facility		$1.14	$1.22	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $9.23	Professional		$1.22	$1.22	$9.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $13.26 / $29.24	Facility		$1.78	$13.26	$29.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $3.00 / $45.00	Professional		$2.06	$3.00	$45.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.95 / $5.30	Professional		$1.07	$1.95	$5.30
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.29 / $1.59	Professional		$1.22	$1.29	$1.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,917.60 / $1,917.60 / $1,917.60	Professional		$1,917.60	$1,917.60	$1,917.60