Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.68 / $410.64 / $598.00	Facility		$256.68	$410.64	$598.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.51 / $211.30 / $318.32	Facility	54	$192.51	$211.30	$318.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $281.73 / $537.07	Professional		$222.40	$281.73	$537.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.33 / $404.03 / $714.29	Professional		$265.33	$404.03	$714.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $606.10	Facility		$221.28	$221.28	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.01 / $373.43 / $674.70	Professional		$265.01	$373.43	$674.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $256.68 / $338.08 / $539.91	Facility		$256.68	$338.08	$539.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $315.91 / $339.00 / $391.00	Professional		$315.91	$339.00	$391.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $386.29 / $454.73 / $607.66	Professional		$386.29	$454.73	$607.66
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 $233.28 / $330.56 / $678.41	Professional		$233.28	$330.56	$678.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,411.32 / $1,411.32	Facility		$55.00	$1,411.32	$1,411.32
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $494.31 / $987.92 / $987.92	Facility	54	$494.31	$987.92	$987.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,986.96 / $2,184.96 / $2,597.25	Professional		$1,986.96	$2,184.96	$2,597.25