Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.52 / $179.00 / $485.45	Facility		$154.52	$179.00	$485.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.79 / $176.59 / $242.81	Professional		$146.79	$176.59	$242.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $460.52 / $824.60 / $886.67	Facility		$460.52	$824.60	$886.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $270.48 / $386.84	Professional		$99.33	$270.48	$386.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.73 / $307.33 / $579.15	Facility		$167.73	$307.33	$579.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.45 / $204.07 / $321.80	Professional		$102.45	$204.07	$321.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.59 / $301.14 / $366.43	Facility		$176.59	$301.14	$366.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.14 / $177.14 / $301.14	Professional		$177.14	$177.14	$301.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $220.74 / $422.72	Professional		$143.47	$220.74	$422.72
United Facility/Professional Professional Modifier Low / Median / High Price $110.37 / $150.58 / $301.14	Professional		$110.37	$150.58	$301.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $384.09 / $1,048.52 / $1,048.52	Facility		$384.09	$1,048.52	$1,048.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,103.70 / $1,103.70 / $1,655.55	Professional		$1,103.70	$1,103.70	$1,655.55