Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.55 / $279.14 / $7,278.00	Facility		$123.55	$279.14	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.55 / $189.71 / $324.81	Professional		$123.55	$189.71	$324.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.08 / $575.08 / $583.47	Facility		$575.08	$575.08	$583.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.13 / $293.97 / $732.80	Professional		$161.13	$293.97	$732.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $820.28	Facility		$530.04	$530.04	$820.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.05 / $232.57 / $418.82	Professional		$143.05	$232.57	$418.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.55 / $214.06 / $327.00	Facility		$123.55	$214.06	$327.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $214.06 / $230.00 / $600.00	Professional		$214.06	$230.00	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.30 / $224.82 / $322.14	Professional		$177.30	$224.82	$322.14
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 $159.77 / $240.01 / $446.71	Professional		$159.77	$240.01	$446.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $869.40 / $869.40 / $16,394.00	Facility		$869.40	$869.40	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,314.00 / $2,563.92 / $2,563.92	Professional		$2,314.00	$2,563.92	$2,563.92