Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.11 / $441.41 / $5,449.00	Facility		$73.11	$441.41	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $116.34 / $215.41	Professional		$59.91	$116.34	$215.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.01 / $299.01 / $303.38	Facility		$299.01	$299.01	$303.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $216.11 / $496.70	Professional		$94.37	$216.11	$496.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $820.28	Facility		$395.75	$395.75	$820.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $168.33 / $302.74	Professional		$84.96	$168.33	$302.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.71 / $157.54 / $297.00	Facility		$61.71	$157.54	$297.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $193.50 / $261.85 / $445.50	Facility	50	$193.50	$261.85	$445.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $158.00 / $400.00	Professional		$158.00	$158.00	$400.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $237.95 / $237.95 / $237.95	Professional	50	$237.95	$237.95	$237.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $145.51 / $292.18	Professional		$91.30	$145.51	$292.18
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.52 / $186.00 / $354.89	Professional		$116.52	$186.00	$354.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $295.99 / $313.41 / $12,000.00	Facility		$295.99	$313.41	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,227.00 / $1,338.30	Professional		$1,227.00	$1,227.00	$1,338.30