Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.58 / $266.39 / $5,449.00	Facility		$129.58	$266.39	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.58 / $169.41 / $274.10	Professional		$129.58	$169.41	$274.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,192.79 / $1,192.79 / $1,210.19	Facility		$1,192.79	$1,192.79	$1,210.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $242.75 / $429.28	Professional		$163.72	$242.75	$429.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,438.74	Facility		$395.75	$395.75	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $219.89 / $396.80	Professional		$156.72	$219.89	$396.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.97 / $207.59 / $310.32	Facility		$130.97	$207.59	$310.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $207.59 / $220.00 / $400.00	Professional		$207.59	$220.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $188.69 / $235.03 / $305.58	Professional		$188.69	$235.03	$305.58
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 $147.50 / $206.21 / $460.13	Professional		$147.50	$206.21	$460.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $609.12 / $671.79 / $12,000.00	Facility		$609.12	$671.79	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $970.16 / $1,263.59 / $1,456.35	Professional		$970.16	$1,263.59	$1,456.35