Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.31 / $300.20 / $322.72	Facility		$150.31	$300.20	$322.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.54 / $300.20 / $397.77	Professional		$249.54	$300.20	$397.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.10 / $635.69 / $1,055.40	Facility		$226.10	$635.69	$1,055.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $93.24 / $375.25	Professional		$79.25	$93.24	$375.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.11 / $522.17 / $984.82	Facility		$256.11	$522.17	$984.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $174.53 / $546.51	Professional		$87.21	$174.53	$546.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.24 / $93.24 / $544.11	Facility		$93.24	$93.24	$544.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.24 / $93.24 / $450.00	Professional		$93.24	$93.24	$450.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $243.91 / $375.25 / $718.60	Professional		$243.91	$375.25	$718.60
United Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $172.49 / $375.25	Professional		$46.62	$172.49	$375.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $652.94 / $1,782.44 / $1,782.44	Facility		$652.94	$1,782.44	$1,782.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,876.25 / $1,876.25 / $2,814.38	Professional		$1,876.25	$1,876.25	$2,814.38