Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $689.00 / $5,449.00	Facility		$84.95	$689.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $118.03 / $200.92	Professional		$84.95	$118.03	$200.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.41 / $207.41 / $299.08	Professional		$117.41	$207.41	$299.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.44 / $130.44 / $606.10	Facility		$130.44	$130.44	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $159.96 / $260.81	Professional		$107.77	$159.96	$260.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $138.16 / $335.00	Facility		$84.95	$138.16	$335.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $162.00	Professional		$128.00	$128.00	$162.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $166.20 / $290.89	Professional		$3.00	$166.20	$290.89
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,733.00 / $6,543.00	Facility		$900.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.25 / $139.80 / $285.50	Professional		$97.25	$139.80	$285.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $460.37 / $460.37	Facility		$55.00	$460.37	$460.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $661.44 / $1,059.75 / $1,490.91	Professional		$661.44	$1,059.75	$1,490.91