Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.44 / $95.06 / $154.18	Facility		$67.44	$95.06	$154.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $95.06 / $163.63	Professional		$67.44	$95.06	$163.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.63 / $64.63 / $65.56	Facility		$64.63	$64.63	$65.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $137.53 / $229.83	Professional		$80.42	$137.53	$229.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.49 / $95.49 / $606.10	Facility		$95.49	$95.49	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $119.04 / $211.36	Professional		$78.09	$119.04	$211.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.44 / $107.00 / $165.02	Facility		$67.44	$107.00	$165.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $123.00 / $130.00	Professional		$109.31	$123.00	$130.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $133.30 / $243.60	Professional		$3.00	$133.30	$243.60
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 $81.41 / $115.77 / $236.38	Professional		$81.41	$115.77	$236.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $336.54 / $336.54	Facility		$55.00	$336.54	$336.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $491.60 / $727.84 / $864.30	Professional		$491.60	$727.84	$864.30