Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.57 / $160.65 / $338.24	Facility		$104.57	$160.65	$338.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.01 / $205.79 / $469.20	Professional		$121.01	$205.79	$469.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.22 / $313.97 / $555.39	Professional		$170.22	$313.97	$555.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $254.15 / $452.46	Professional		$139.86	$254.15	$452.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.01 / $205.79 / $419.72	Facility		$121.01	$205.79	$419.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $266.55 / $266.55 / $473.45	Professional		$266.55	$266.55	$473.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $461.40 / $576.50	Professional		$143.19	$461.40	$576.50
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.18 / $274.23 / $564.84	Professional		$183.18	$274.23	$564.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $633.60 / $633.60	Facility		$55.00	$633.60	$633.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $877.12 / $1,483.12 / $1,746.08	Professional		$877.12	$1,483.12	$1,746.08