Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.93 / $115.93 / $115.93	Facility		$115.93	$115.93	$115.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $115.93 / $115.93	Professional		$63.86	$115.93	$115.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $81.09 / $89.21	Professional		$75.28	$81.09	$89.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Facility		$56.50	$56.50	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $56.50 / $136.88	Professional		$41.25	$56.50	$136.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $115.93 / $234.00	Facility		$59.84	$115.93	$234.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $205.00 / $205.00	Professional		$205.00	$205.00	$205.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.20 / $164.20 / $164.20	Professional		$164.20	$164.20	$164.20
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $74.18 / $115.82	Professional		$61.44	$74.18	$115.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $231.98 / $662.25 / $662.25	Facility		$231.98	$662.25	$662.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $880.17 / $1,021.13 / $1,021.13	Professional		$880.17	$1,021.13	$1,021.13