Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.62 / $298.10 / $3,670.53	Facility		$225.62	$298.10	$3,670.53
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $259.18 / $281.82 / $438.88	Facility	54	$259.18	$281.82	$438.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.75 / $375.76 / $681.44	Professional		$321.75	$375.76	$681.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.64 / $589.11 / $989.25	Professional		$369.64	$589.11	$989.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $395.75	Facility		$221.28	$221.28	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.59 / $497.36 / $918.59	Professional		$363.59	$497.36	$918.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $345.57 / $450.91 / $690.58	Facility		$345.57	$450.91	$690.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $469.00 / $516.00	Professional		$378.00	$469.00	$516.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $513.85 / $602.33 / $730.46	Professional		$513.85	$602.33	$730.46
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.70 / $434.44 / $912.63	Professional		$314.70	$434.44	$912.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,677.52 / $1,890.74 / $12,000.00	Facility		$1,677.52	$1,890.74	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $658.41 / $1,323.52 / $1,323.52	Facility	54	$658.41	$1,323.52	$1,323.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,636.64 / $2,882.32 / $3,420.75	Professional		$2,636.64	$2,882.32	$3,420.75