Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $58.88	Professional		$33.11	$44.67	$58.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $117.49 / $154.88	Facility		$74.13	$117.49	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $60.26 / $64.57	Professional		$58.88	$60.26	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $91.20	Professional		$52.48	$52.48	$91.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $51.29	Professional		$36.31	$38.90	$51.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $63.10 / $109.65	Facility		$32.36	$63.10	$109.65
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 $33.88 / $52.48 / $63.10	Facility		$33.88	$52.48	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $54.95	Professional		$30.90	$38.90	$54.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $575.44	Professional		$398.11	$575.44	$575.44