Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.37 / $513.48 / $551.99	Facility		$404.37	$513.48	$551.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.06 / $513.48 / $962.77	Professional		$321.06	$513.48	$962.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $697.95 / $1,087.32 / $1,444.17	Facility		$697.95	$1,087.32	$1,444.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.70 / $287.83 / $641.85	Professional		$239.70	$287.83	$641.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $438.06 / $893.59 / $1,684.96	Facility		$438.06	$893.59	$1,684.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.30 / $298.77 / $934.91	Professional		$269.30	$298.77	$934.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $287.83 / $287.83 / $930.68	Facility		$287.83	$287.83	$930.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $287.83 / $287.83 / $1,170.00	Professional		$287.83	$287.83	$1,170.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $417.20 / $641.85 / $1,229.14	Professional		$417.20	$641.85	$1,229.14
United Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $320.93 / $641.85	Professional		$143.91	$320.93	$641.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,116.82 / $3,048.79 / $3,048.79	Facility		$1,116.82	$3,048.79	$3,048.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,209.25 / $3,209.25 / $4,813.88	Professional		$3,209.25	$3,209.25	$4,813.88