Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.45 / $82.45 / $142.25	Facility		$82.45	$82.45	$142.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $82.45 / $82.45	Professional		$40.20	$82.45	$82.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.77 / $139.66 / $172.00	Facility		$85.77	$139.66	$172.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.67 / $70.62 / $70.62	Professional		$53.67	$70.62	$70.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.25 / $58.84 / $58.84	Facility		$58.25	$58.84	$58.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $58.84 / $109.13	Professional		$42.95	$58.84	$109.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $82.45 / $110.76	Facility		$30.33	$82.45	$110.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $64.03	Professional		$53.00	$53.00	$64.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $133.00 / $204.50	Professional		$133.00	$133.00	$204.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $46.98 / $70.77	Professional		$36.10	$46.98	$70.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $166.25 / $476.85 / $476.85	Facility		$166.25	$476.85	$476.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $612.91 / $612.91 / $831.23	Professional		$612.91	$612.91	$831.23