Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $179.67 / $351.15	Facility		$93.65	$179.67	$351.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.93 / $167.14 / $286.89	Professional		$138.93	$167.14	$286.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.92 / $608.25 / $780.45	Facility		$353.92	$608.25	$780.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.01 / $255.99 / $366.12	Professional		$94.01	$255.99	$366.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.75 / $290.95 / $548.90	Facility		$158.75	$290.95	$548.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.98 / $192.97 / $304.52	Professional		$96.98	$192.97	$304.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $167.14 / $285.02 / $346.81	Facility		$167.14	$285.02	$346.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $285.02	Professional		$145.00	$145.00	$285.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.80 / $208.92 / $400.08	Professional		$135.80	$208.92	$400.08
United Facility/Professional Professional Modifier Low / Median / High Price $104.46 / $142.51 / $285.02	Professional		$104.46	$142.51	$285.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $363.52 / $992.37 / $992.37	Facility		$363.52	$992.37	$992.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,044.59 / $1,044.59 / $1,566.90	Professional		$1,044.59	$1,044.59	$1,566.90