Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.13 / $143.57 / $282.22	Facility		$110.13	$143.57	$282.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $139.85 / $185.30	Professional		$116.25	$139.85	$185.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.14 / $373.64 / $448.37	Facility		$296.14	$373.64	$448.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $157.57 / $279.70	Professional		$78.66	$157.57	$279.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.31 / $243.27 / $459.05	Facility		$119.31	$243.27	$459.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $157.33 / $254.70	Professional		$81.09	$157.33	$254.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $175.08 / $262.22	Facility		$139.85	$175.08	$262.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $154.60 / $175.08	Professional		$154.60	$154.60	$175.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $174.81 / $334.76	Professional		$113.63	$174.81	$334.76
United Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $104.89 / $180.05	Professional		$73.53	$104.89	$180.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $304.17 / $830.35 / $830.35	Facility		$304.17	$830.35	$830.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $874.05 / $874.05 / $1,311.08	Professional		$874.05	$874.05	$1,311.08