Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.46 / $111.46 / $192.28	Facility		$111.46	$111.46	$192.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $111.46 / $111.46	Professional		$65.30	$111.46	$111.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.96 / $188.81 / $232.53	Facility		$115.96	$188.81	$232.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $95.47 / $95.47	Professional		$72.56	$95.47	$95.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $104.21 / $104.21	Facility		$78.73	$104.21	$104.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $76.06 / $171.75	Professional		$62.99	$76.06	$171.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $111.46 / $149.72	Facility		$41.00	$111.46	$149.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $86.55	Professional		$72.00	$72.00	$86.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.60 / $152.60 / $234.90	Professional		$152.60	$152.60	$234.90
United Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $63.50 / $96.35	Professional		$48.46	$63.50	$96.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $214.89 / $806.22 / $806.22	Facility		$214.89	$806.22	$806.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $850.46 / $850.46 / $954.68	Professional		$850.46	$850.46	$954.68