Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $93.33 / $97.72	Facility		$22.91	$93.33	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $28.84	Professional		$19.05	$22.91	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $93.33 / $100.00	Facility		$57.54	$93.33	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.92 / $46.77	Professional		$13.18	$26.92	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $46.77 / $77.62	Facility		$20.42	$46.77	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.18 / $42.66	Facility		$23.44	$28.18	$42.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $50.12	Professional		$45.71	$45.71	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $35.48 / $39.81	Facility		$19.95	$35.48	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $36.31	Professional		$12.30	$17.78	$36.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $223.87	Professional		$147.91	$147.91	$223.87