Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.11 / $1,615.00 / $6,953.60	Facility		$171.11	$1,615.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.11 / $171.11 / $203.98	Professional		$171.11	$171.11	$203.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $315.20 / $420.25	Professional		$214.20	$315.20	$420.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.25 / $292.60 / $470.30	Professional		$195.25	$292.60	$470.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.89 / $214.20 / $400.33	Facility		$163.89	$214.20	$400.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $214.20 / $449.02	Professional		$214.20	$214.20	$449.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.40 / $436.40 / $436.40	Professional		$436.40	$436.40	$436.40
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 $156.02 / $238.74 / $515.16	Professional		$156.02	$238.74	$515.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $427.57 / $826.36	Facility		$55.00	$427.57	$826.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,219.83 / $1,434.98 / $1,434.98	Professional		$1,219.83	$1,434.98	$1,434.98