Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.92 / $195.33 / $5,449.00	Facility		$42.92	$195.33	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $111.00 / $155.22	Professional		$42.92	$111.00	$155.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $180.68 / $363.29	Professional		$74.73	$180.68	$363.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $144.36 / $269.69	Professional		$56.71	$144.36	$269.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.46 / $133.19 / $270.00	Facility		$43.46	$133.19	$270.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.44 / $169.44 / $169.44	Professional		$169.44	$169.44	$169.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.60 / $178.60 / $178.60	Professional		$178.60	$178.60	$178.60
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 $125.23 / $194.37 / $318.77	Professional		$125.23	$194.37	$318.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $222.68 / $222.68	Facility		$55.00	$222.68	$222.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $687.00 / $995.38 / $1,153.28	Professional		$687.00	$995.38	$1,153.28