Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.16 / $267.60 / $5,449.00	Facility		$157.16	$267.60	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $195.45 / $313.75	Professional		$144.83	$195.45	$313.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.66 / $242.69 / $462.17	Professional		$171.66	$242.69	$462.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.28 / $229.81 / $483.60	Professional		$158.28	$229.81	$483.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.16 / $215.27 / $502.00	Facility		$157.16	$215.27	$502.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $238.07 / $248.00 / $248.00	Professional		$238.07	$248.00	$248.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $179.12 / $234.92 / $289.05	Professional		$179.12	$234.92	$289.05
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 $161.63 / $204.23 / $526.15	Professional		$161.63	$204.23	$526.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,111.92	Facility		$55.00	$55.00	$1,111.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,183.76 / $1,684.43 / $2,399.48	Professional		$1,183.76	$1,684.43	$2,399.48