Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.80 / $206.97 / $326.92	Facility		$88.80	$206.97	$326.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $93.01 / $278.25	Professional		$83.89	$93.01	$278.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.46 / $169.75 / $211.73	Facility		$141.46	$169.75	$211.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $78.42 / $78.42	Professional		$78.42	$78.42	$78.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.42 / $111.47 / $241.53	Facility		$99.42	$111.47	$241.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.61 / $144.32 / $260.47	Professional		$89.61	$144.32	$260.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.80 / $136.00 / $219.26	Facility		$88.80	$136.00	$219.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $128.00 / $363.07	Professional		$38.00	$128.00	$363.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $92.85 / $178.29	Professional		$29.76	$92.85	$178.29
United Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $121.20 / $258.24	Professional		$88.86	$121.20	$258.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $211.58 / $539.87 / $539.87	Facility		$211.58	$539.87	$539.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $652.77 / $652.77 / $829.73	Professional		$652.77	$652.77	$829.73