Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $54.95	Professional		$25.70	$34.67	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $63.10 / $125.89	Facility		$52.48	$63.10	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $51.29	Professional		$47.86	$47.86	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $34.67 / $34.67	Facility		$21.38	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $44.67	Professional		$25.70	$25.70	$44.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $31.62 / $40.74	Professional		$29.51	$31.62	$40.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $54.95 / $91.20	Facility		$26.30	$54.95	$91.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $27.54 / $50.12	Facility		$19.05	$27.54	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $44.67	Professional		$23.44	$30.90	$44.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $457.09	Professional		$316.23	$457.09	$457.09