Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $66.09 / $114.01	Facility		$66.09	$66.09	$114.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $66.09 / $66.09	Professional		$32.22	$66.09	$66.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $111.96 / $137.88	Facility		$68.75	$111.96	$137.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $56.61 / $60.38	Professional		$50.95	$56.61	$60.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $41.91 / $41.91	Facility		$20.00	$41.91	$41.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $41.91 / $87.00	Professional		$20.00	$41.91	$87.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $66.09 / $85.92	Facility		$21.60	$66.09	$85.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $55.00	Professional		$48.00	$48.00	$55.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $135.19 / $144.54	Professional		$87.90	$135.19	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $37.31 / $53.15	Professional		$27.69	$37.31	$53.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $117.94 / $349.60 / $349.60	Facility		$117.94	$349.60	$349.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $549.53 / $549.53	Professional		$378.23	$549.53	$549.53