Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.31 / $118.25 / $189.74	Facility		$90.31	$118.25	$189.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.31 / $118.25 / $191.89	Professional		$90.31	$118.25	$191.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.75 / $180.30 / $300.24	Professional		$108.75	$180.30	$300.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.58 / $126.58 / $606.10	Facility		$126.58	$126.58	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.34 / $153.34 / $279.58	Professional		$99.34	$153.34	$279.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.31 / $131.00 / $213.13	Facility		$90.31	$131.00	$213.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $152.00 / $164.00	Professional		$132.38	$152.00	$164.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $168.60 / $259.20	Professional		$3.00	$168.60	$259.20
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 $97.54 / $141.87 / $293.95	Professional		$97.54	$141.87	$293.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $475.00 / $475.00	Facility		$55.00	$475.00	$475.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $680.64 / $916.88 / $1,091.84	Professional		$680.64	$916.88	$1,091.84