Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $249.98 / $650.25	Facility		$139.85	$249.98	$650.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $139.85 / $192.29	Professional		$116.25	$139.85	$192.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.14 / $364.70 / $491.66	Facility		$296.14	$364.70	$491.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.59 / $174.81 / $375.84	Professional		$148.59	$174.81	$375.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.83 / $243.27 / $459.05	Facility		$132.83	$243.27	$459.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $129.74 / $258.10	Professional		$80.87	$129.74	$258.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $174.81 / $262.22	Facility		$139.85	$174.81	$262.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $154.60 / $174.81	Professional		$154.60	$154.60	$174.81
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 Facility Modifier Low / Median / High Price $104.89 / $206.28 / $209.77	Facility		$104.89	$206.28	$209.77
United Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $104.89 / $180.05	Professional		$87.41	$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