Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $776.25 / $831.76	Facility		$199.53	$776.25	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $239.88	Professional		$165.96	$199.53	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $758.58 / $776.25	Facility		$478.63	$758.58	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $575.44	Professional		$208.93	$251.19	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $389.05 / $645.65	Facility		$169.82	$389.05	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $223.87 / $346.74	Facility		$177.83	$223.87	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $416.87	Professional		$380.19	$380.19	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $295.12 / $302.00	Facility		$147.91	$295.12	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $275.42	Professional		$104.71	$147.91	$275.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,862.09	Professional		$1,230.27	$1,230.27	$1,862.09