Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.08 / $437.12 / $952.27	Facility		$241.08	$437.12	$952.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.24 / $241.08 / $409.59	Professional		$184.24	$241.08	$409.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.50 / $642.41 / $847.56	Facility		$510.50	$642.41	$847.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $301.35 / $647.90	Professional		$256.14	$301.35	$647.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.67 / $419.58 / $790.88	Facility		$205.67	$419.58	$790.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.63 / $223.77 / $439.24	Professional		$139.63	$223.77	$439.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $241.08 / $301.35 / $500.24	Facility		$241.08	$301.35	$500.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $980.31	Professional		$301.35	$301.35	$980.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $301.35 / $577.09	Professional		$195.88	$301.35	$577.09
United Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $361.62 / $361.62	Facility		$361.62	$361.62	$361.62
United Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $180.81 / $331.49	Professional		$150.68	$180.81	$331.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $524.35 / $1,601.02 / $1,601.02	Facility		$524.35	$1,601.02	$1,601.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,506.75 / $1,506.75 / $2,260.13	Professional		$1,506.75	$1,506.75	$2,260.13