Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.61 / $263.61 / $546.99	Facility		$263.61	$263.61	$546.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.12 / $263.61 / $316.33	Professional		$219.12	$263.61	$316.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.20 / $687.44 / $721.08	Facility		$558.20	$687.44	$721.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.08 / $329.51 / $708.45	Professional		$280.08	$329.51	$708.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.38 / $458.60 / $864.72	Facility		$250.38	$458.60	$864.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.84 / $244.58 / $486.33	Professional		$152.84	$244.58	$486.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.61 / $263.61 / $477.79	Facility		$263.61	$263.61	$477.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $214.18 / $214.18 / $263.61	Professional		$214.18	$214.18	$263.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.18 / $329.51 / $631.01	Professional		$214.18	$329.51	$631.01
United Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $329.51 / $329.51	Facility		$329.51	$329.51	$329.51
United Facility/Professional Professional Modifier Low / Median / High Price $164.76 / $197.71 / $339.40	Professional		$164.76	$197.71	$339.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $573.35 / $1,565.17 / $1,565.17	Facility		$573.35	$1,565.17	$1,565.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,640.96 / $1,640.96 / $2,471.33	Professional		$1,640.96	$1,640.96	$2,471.33