Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.83 / $158.29 / $5,449.00	Facility		$106.83	$158.29	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.97 / $124.49 / $270.73	Professional		$92.97	$124.49	$270.73
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $61.34 / $61.34 / $61.34	Professional	52	$61.34	$61.34	$61.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.78 / $78.78 / $79.93	Facility		$78.78	$78.78	$79.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.98 / $186.48 / $254.04	Professional		$115.98	$186.48	$254.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.22 / $143.22 / $606.10	Facility		$143.22	$143.22	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $159.50 / $295.67	Professional		$116.41	$159.50	$295.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.83 / $132.58 / $211.63	Facility		$106.83	$132.58	$211.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.58 / $145.00 / $169.00	Professional		$132.58	$145.00	$169.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $175.50 / $274.39	Professional		$175.50	$175.50	$274.39
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.34 / $149.52 / $293.66	Professional		$99.34	$149.52	$293.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $574.99 / $574.99	Facility		$55.00	$574.99	$574.99
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $224.94 / $459.99 / $459.99	Facility	52	$224.94	$459.99	$459.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $795.04 / $991.35 / $1,152.59	Professional		$795.04	$991.35	$1,152.59