Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $645.65 / $6,918.31	Facility		$251.19	$645.65	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $426.58	Professional		$165.96	$204.17	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $117.49	Facility		$114.82	$114.82	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $501.19	Professional		$186.21	$269.15	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $457.09	Professional		$190.55	$269.15	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $446.68	Professional		$288.40	$288.40	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $234.42 / $371.54	Facility		$173.78	$234.42	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $416.87	Professional		$281.84	$316.23	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $724.44 / $1,949.84	Facility		$181.97	$724.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $389.05	Professional		$154.88	$204.17	$389.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,288.25 / $1,288.25	Facility		$56.23	$1,288.25	$1,288.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,698.24	Professional		$1,479.11	$1,479.11	$1,698.24