Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.22 / $476.41 / $5,449.00	Facility		$194.22	$476.41	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $319.45 / $436.51	Professional		$194.22	$319.45	$436.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.46 / $402.13 / $738.09	Professional		$228.46	$402.13	$738.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.19 / $412.11 / $575.00	Facility		$293.19	$412.11	$575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.21 / $368.17 / $727.96	Professional		$205.21	$368.17	$727.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.22 / $330.46 / $496.57	Facility		$194.22	$330.46	$496.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $231.24 / $354.96 / $871.01	Professional		$231.24	$354.96	$871.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.10 / $295.10 / $753.40	Professional		$245.10	$295.10	$753.40
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $650.00 / $4,824.00	Facility		$393.00	$650.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $360.61 / $784.08	Professional		$251.18	$360.61	$784.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,403.58 / $1,403.58	Facility		$55.00	$1,403.58	$1,403.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,472.32 / $2,543.60 / $3,017.85	Professional		$1,472.32	$2,543.60	$3,017.85