Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.20 / $110.20 / $190.09	Facility		$110.20	$110.20	$190.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $110.20 / $110.20	Professional		$46.90	$110.20	$110.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.89 / $121.07 / $229.91	Facility		$100.89	$121.07	$229.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $94.39 / $94.39	Professional		$71.73	$94.39	$94.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $83.99 / $83.99	Facility		$77.84	$83.99	$83.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $83.99 / $150.38	Professional		$61.31	$83.99	$150.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $110.20 / $143.26	Facility		$31.36	$110.20	$143.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $71.00 / $85.57	Professional		$71.00	$71.00	$85.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $116.10 / $179.70	Professional		$116.10	$116.10	$179.70
United Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $62.23 / $98.50	Professional		$47.57	$62.23	$98.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $196.64 / $616.74 / $616.74	Facility		$196.64	$616.74	$616.74
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $761.63 / $761.63 / $761.63	Professional		$761.63	$761.63	$761.63