Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.94 / $59.94 / $103.39	Facility		$59.94	$59.94	$103.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $59.94 / $59.94	Professional		$29.22	$59.94	$59.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.88 / $65.86 / $125.05	Facility		$54.88	$65.86	$125.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $51.34 / $51.34	Professional		$39.02	$51.34	$51.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.34 / $42.77 / $42.77	Facility		$42.34	$42.77	$42.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $42.77 / $79.50	Professional		$31.22	$42.77	$79.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $59.94 / $80.51	Facility		$22.05	$59.94	$80.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $46.54	Professional		$38.00	$38.00	$46.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $155.40	Professional		$101.00	$101.00	$155.40
United Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $33.85 / $38.72	Facility		$26.31	$33.85	$38.72
United Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $34.15 / $52.26	Professional		$26.24	$34.15	$52.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $126.29 / $433.53 / $433.53	Facility		$126.29	$433.53	$433.53
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $653.80 / $653.80 / $653.80	Professional		$653.80	$653.80	$653.80