Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.22 / $51.11 / $82.55	Facility		$37.22	$51.11	$82.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $52.47 / $62.97	Professional		$47.12	$52.47	$62.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.98 / $96.22 / $129.19	Facility		$54.98	$96.22	$129.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $54.98 / $60.48	Professional		$38.33	$54.98	$60.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $52.47 / $85.00	Facility		$49.50	$52.47	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $60.73	Professional		$52.47	$52.47	$60.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.50 / $47.12 / $66.18	Facility		$32.50	$47.12	$66.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $64.09 / $73.00	Professional		$32.50	$64.09	$73.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $86.29 / $100.49	Professional		$80.30	$86.29	$100.49
United Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $55.62 / $62.96	Professional		$52.47	$55.62	$62.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $262.35	Facility		$75.00	$100.00	$262.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,790.38 / $1,790.38 / $1,790.38	Professional		$1,790.38	$1,790.38	$1,790.38