Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.21 / $175.01 / $357.31	Facility		$128.21	$175.01	$357.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.33 / $162.80 / $215.71	Professional		$135.33	$162.80	$215.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.55 / $652.64 / $652.64	Facility		$424.55	$652.64	$652.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $199.08 / $325.60	Professional		$91.58	$199.08	$325.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.88 / $283.25 / $534.66	Facility		$138.88	$283.25	$534.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $183.08 / $296.38	Professional		$94.39	$183.08	$296.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.80 / $221.66 / $305.25	Facility		$162.80	$221.66	$305.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.28 / $132.28 / $221.66	Professional		$132.28	$132.28	$221.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.28 / $203.50 / $389.70	Professional		$132.28	$203.50	$389.70
United Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $203.50 / $203.50	Facility		$203.50	$203.50	$203.50
United Facility/Professional Professional Modifier Low / Median / High Price $101.75 / $122.10 / $221.66	Professional		$101.75	$122.10	$221.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $354.09 / $966.63 / $966.63	Facility		$354.09	$966.63	$966.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,017.50 / $1,017.50 / $1,526.25	Professional		$1,017.50	$1,017.50	$1,526.25