Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.48 / $689.00 / $6,953.60	Facility		$56.48	$689.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $141.30 / $166.21	Professional		$56.48	$141.30	$166.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.36 / $210.04 / $428.74	Professional		$85.36	$210.04	$428.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $194.29 / $340.04	Professional		$77.62	$194.29	$340.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.48 / $160.53 / $247.86	Facility		$56.48	$160.53	$247.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $216.87 / $216.87 / $418.02	Professional		$216.87	$216.87	$418.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $198.66 / $219.17	Professional		$72.94	$198.66	$219.17
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.31 / $226.90 / $401.19	Professional		$154.31	$226.90	$401.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $244.39 / $244.39 / $244.39	Facility		$244.39	$244.39	$244.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $493.48 / $1,057.75 / $1,192.28	Professional		$493.48	$1,057.75	$1,192.28