Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.08 / $1,245.00 / $7,362.00	Facility		$113.08	$1,245.00	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.08 / $113.08 / $185.94	Professional		$113.08	$113.08	$185.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $216.39 / $323.20	Professional		$138.97	$216.39	$323.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $198.02 / $320.19	Professional		$140.43	$198.02	$320.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.08 / $158.97 / $284.56	Facility		$113.08	$158.97	$284.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $158.97 / $283.83	Professional		$158.97	$158.97	$283.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $195.30 / $287.80	Professional		$154.30	$195.30	$287.80
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 $115.36 / $163.87 / $363.77	Professional		$115.36	$163.87	$363.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $265.43 / $2,000.00 / $12,000.00	Facility		$265.43	$2,000.00	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $842.56 / $842.56 / $943.28	Professional		$842.56	$842.56	$943.28