Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,570.40 / $8,128.31	Facility		$204.17	$2,570.40	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $354.81	Professional		$120.23	$144.54	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $371.54	Professional		$141.25	$190.55	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $489.78 / $812.83	Facility		$223.87	$489.78	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $338.84	Professional		$138.04	$204.17	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $154.88 / $257.04	Facility		$120.23	$154.88	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $323.59	Professional		$239.88	$257.04	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $501.19 / $1,348.96	Facility		$77.62	$501.19	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $257.04	Professional		$112.20	$151.36	$257.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $794.33 / $794.33	Facility		$56.23	$794.33	$794.33
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,122.02	Professional		$912.01	$912.01	$1,122.02