Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $120.00 / $241.81	Facility		$94.50	$120.00	$241.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $120.00 / $159.00	Professional		$99.75	$120.00	$159.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.94 / $440.62 / $440.62	Facility		$312.94	$440.62	$440.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $127.50 / $270.00	Professional		$67.50	$127.50	$270.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.98 / $208.58 / $394.11	Facility		$113.98	$208.58	$394.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.53 / $111.24 / $218.60	Professional		$69.53	$111.24	$218.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $150.00 / $239.45	Facility		$120.00	$150.00	$239.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $184.08	Professional		$150.00	$150.00	$184.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $150.00 / $287.25	Professional		$97.50	$150.00	$287.25
United Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $90.00 / $154.50	Professional		$75.00	$90.00	$154.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $261.00 / $712.50 / $712.50	Facility		$261.00	$712.50	$712.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $1,125.00	Professional		$750.00	$750.00	$1,125.00