Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.96 / $1,245.00 / $3,712.16	Facility		$194.96	$1,245.00	$3,712.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.30 / $194.96 / $418.20	Professional		$188.30	$194.96	$418.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.15 / $421.04 / $584.92	Professional		$255.15	$421.04	$584.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.75 / $336.52 / $477.12	Professional		$233.75	$336.52	$477.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.96 / $255.21 / $490.03	Facility		$194.96	$255.21	$490.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $255.21 / $255.21 / $529.46	Professional		$255.21	$255.21	$529.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $331.80 / $494.00	Professional		$4.00	$331.80	$494.00
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.20 / $275.70 / $545.54	Professional		$192.20	$275.70	$545.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $480.50 / $1,300.00	Facility		$55.00	$480.50	$1,300.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,745.03	Professional		$1,500.00	$1,500.00	$1,745.03