Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.08 / $61.08 / $105.36	Facility		$61.08	$61.08	$105.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $61.08 / $61.08	Professional		$29.78	$61.08	$61.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.55 / $103.47 / $127.43	Facility		$63.55	$103.47	$127.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.76 / $52.31 / $52.31	Professional		$39.76	$52.31	$52.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $43.58 / $43.58	Facility		$43.15	$43.58	$43.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $43.58 / $84.38	Professional		$31.81	$43.58	$84.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $61.08 / $79.40	Facility		$22.47	$61.08	$79.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $49.00	Professional		$39.00	$39.00	$49.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $89.80 / $138.19	Professional		$89.80	$89.80	$138.19
United Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Facility		$44.00	$44.00	$44.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $34.79 / $53.26	Professional		$26.74	$34.79	$53.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $117.98 / $400.57 / $400.57	Facility		$117.98	$400.57	$400.57
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $446.11 / $446.11 / $561.53	Professional		$446.11	$446.11	$561.53