Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.93 / $67.93 / $137.87	Facility		$67.93	$67.93	$137.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $67.93 / $67.93	Professional		$39.54	$67.93	$67.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.14 / $135.38 / $166.73	Facility		$83.14	$135.38	$166.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $68.45 / $68.45	Professional		$52.02	$68.45	$68.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $50.66 / $50.66	Facility		$50.66	$50.66	$50.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $50.66 / $105.38	Professional		$36.97	$50.66	$105.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $67.93 / $102.78	Facility		$26.11	$67.93	$102.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $65.00	Professional		$51.00	$51.00	$65.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $106.20 / $163.19	Professional		$106.20	$106.20	$163.19
United Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $45.53 / $66.02	Professional		$34.97	$45.53	$66.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $152.54 / $423.35 / $423.35	Facility		$152.54	$423.35	$423.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $456.96 / $456.96 / $663.60	Professional		$456.96	$456.96	$663.60