Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.31 / $102.31 / $176.50	Facility		$102.31	$102.31	$176.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $102.31 / $102.31	Professional		$49.89	$102.31	$102.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.45 / $173.32 / $213.45	Facility		$106.45	$173.32	$213.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $87.63 / $96.39	Professional		$81.34	$87.63	$96.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $72.28	Facility		$61.48	$61.48	$72.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $61.48 / $119.25	Professional		$44.88	$61.48	$119.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $102.31 / $133.00	Facility		$31.69	$102.31	$133.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $79.45	Professional		$66.00	$66.00	$79.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $127.10 / $127.10 / $195.50	Professional		$127.10	$127.10	$195.50
United Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $57.27 / $89.83	Professional		$40.90	$57.27	$89.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $182.56 / $503.80 / $503.80	Facility		$182.56	$503.80	$503.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $558.26 / $558.26 / $794.48	Professional		$558.26	$558.26	$794.48