Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.85 / $4,886.10 / $4,952.60	Facility		$213.85	$4,886.10	$4,952.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $201.22 / $367.75	Professional		$142.77	$201.22	$367.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.54 / $172.19 / $292.20	Facility		$156.54	$172.19	$292.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.51 / $297.82 / $482.58	Professional		$181.51	$297.82	$482.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.87 / $256.04 / $606.10	Facility		$159.87	$256.04	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.96 / $273.97 / $487.61	Professional		$169.96	$273.97	$487.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.30 / $244.31 / $363.24	Facility		$149.30	$244.31	$363.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $164.11 / $247.04 / $536.16	Professional		$164.11	$247.04	$536.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $219.30 / $266.30 / $473.30	Professional		$219.30	$266.30	$473.30
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 $179.69 / $243.78 / $561.10	Professional		$179.69	$243.78	$561.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,064.64 / $1,064.64	Facility		$55.00	$1,064.64	$1,064.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,120.72 / $1,593.12 / $1,869.00	Professional		$1,120.72	$1,593.12	$1,869.00