Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.31 / $73.31 / $73.31	Facility		$73.31	$73.31	$73.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $73.31 / $77.27	Professional		$36.53	$73.31	$77.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.19 / $148.55 / $152.94	Facility		$124.19	$148.55	$152.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $62.79 / $66.98	Professional		$58.29	$62.79	$66.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $34.15	Professional		$34.15	$34.15	$34.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.07 / $73.31 / $123.06	Facility		$55.07	$73.31	$123.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.07 / $55.07 / $143.40	Professional		$55.07	$55.07	$143.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $92.22 / $143.26	Professional		$81.76	$92.22	$143.26
United Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $40.29 / $65.54	Professional		$31.66	$40.29	$65.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $140.65 / $169.95 / $397.67	Facility		$140.65	$169.95	$397.67
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $565.94 / $565.94 / $627.90	Professional		$565.94	$565.94	$627.90