Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.83 / $1,245.00 / $6,953.60	Facility		$208.83	$1,245.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.20 / $211.64 / $341.04	Professional		$195.20	$211.64	$341.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.42 / $324.60 / $560.24	Professional		$209.42	$324.60	$560.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $502.92 / $948.75	Facility		$323.44	$502.92	$948.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $300.02 / $536.69	Professional		$190.53	$300.02	$536.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $178.00 / $240.15 / $370.26	Facility		$178.00	$240.15	$370.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $270.26 / $396.00 / $474.00	Professional		$270.26	$396.00	$474.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.40 / $141.69 / $444.30	Professional		$119.40	$141.69	$444.30
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $475.00 / $2,912.00	Facility		$226.00	$475.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $232.67 / $514.58	Professional		$170.28	$232.67	$514.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,196.58 / $2,776.25 / $12,000.00	Facility		$1,196.58	$2,776.25	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,518.08 / $1,518.08 / $1,847.25	Professional		$1,518.08	$1,518.08	$1,847.25