Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.97 / $53.97 / $93.12	Facility		$53.97	$53.97	$93.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $53.97 / $53.97	Professional		$26.31	$53.97	$53.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $91.43 / $112.60	Facility		$56.16	$91.43	$112.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $46.23 / $49.31	Professional		$41.61	$46.23	$49.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $40.00	Facility		$36.72	$36.72	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.72 / $70.88	Professional		$26.81	$36.72	$70.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $53.97 / $70.16	Facility		$17.64	$53.97	$70.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $45.00	Professional		$36.00	$36.00	$45.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.80 / $110.40 / $118.04	Professional		$71.80	$110.40	$118.04
United Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $30.47 / $43.43	Professional		$22.62	$30.47	$43.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $96.32 / $285.48 / $285.48	Facility		$96.32	$285.48	$285.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $308.61 / $448.80 / $448.80	Professional		$308.61	$448.80	$448.80