Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.25 / $115.25 / $198.81	Facility		$115.25	$115.25	$198.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $115.25 / $115.25	Professional		$56.19	$115.25	$115.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.90 / $195.25 / $240.45	Facility		$119.90	$195.25	$240.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $98.72 / $98.72	Professional		$75.02	$98.72	$98.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $81.42	Facility		$75.81	$75.81	$81.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $75.81 / $135.75	Professional		$55.35	$75.81	$135.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.34 / $115.25 / $149.83	Facility		$37.34	$115.25	$149.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $89.49	Professional		$74.00	$74.00	$89.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $216.50 / $237.00	Professional		$154.19	$216.50	$237.00
United Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $65.66 / $103.01	Professional		$48.20	$65.66	$103.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $205.66 / $734.30 / $734.30	Facility		$205.66	$734.30	$734.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $817.65 / $817.65 / $963.45	Professional		$817.65	$817.65	$963.45