Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $87.10	Professional		$42.66	$58.88	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $147.91 / $199.53	Facility		$93.33	$147.91	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $83.18	Professional		$74.13	$75.86	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $72.44 / $72.44	Facility		$44.67	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $83.18	Professional		$52.48	$52.48	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $60.26 / $75.86	Professional		$56.23	$60.26	$75.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $89.13 / $147.91	Facility		$40.74	$89.13	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.77 / $79.43	Facility		$31.62	$46.77	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $70.79	Professional		$38.02	$48.98	$70.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $707.95	Professional		$602.56	$602.56	$707.95