Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $954.99 / $1,000.00	Facility		$239.88	$954.99	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $302.00	Professional		$199.53	$239.88	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $676.08 / $954.99	Facility		$512.86	$676.08	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $691.83	Professional		$257.04	$302.00	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $478.63 / $794.33	Facility		$204.17	$478.63	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $269.15 / $416.87	Facility		$218.78	$269.15	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $512.86	Professional		$457.09	$457.09	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $354.81 / $371.54	Facility		$181.97	$354.81	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $331.13	Professional		$125.89	$181.97	$331.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,238.72	Professional		$1,513.56	$1,513.56	$2,238.72