Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.81 / $319.12 / $6,953.60	Facility		$83.81	$319.12	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.81 / $188.51 / $407.18	Professional		$83.81	$188.51	$407.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.19 / $438.54 / $672.83	Professional		$175.19	$438.54	$672.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $259.22 / $503.92	Professional		$142.91	$259.22	$503.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.67 / $236.11 / $519.20	Facility		$87.67	$236.11	$519.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.74 / $338.74 / $338.74	Professional		$338.74	$338.74	$338.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $264.86 / $476.40	Professional		$120.12	$264.86	$476.40
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.08 / $329.73 / $540.79	Professional		$193.08	$329.73	$540.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $475.15 / $475.15 / $12,000.00	Facility		$475.15	$475.15	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,603.00 / $2,322.16 / $2,322.16	Professional		$1,603.00	$2,322.16	$2,322.16