Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.12 / $208.40 / $419.92	Facility		$164.12	$208.40	$419.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $208.40 / $260.50	Professional		$130.25	$208.40	$260.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.99 / $765.21 / $765.21	Facility		$630.99	$765.21	$765.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.23 / $221.42 / $468.90	Professional		$117.23	$221.42	$468.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.25 / $198.90 / $684.12	Facility		$185.25	$198.90	$684.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.21 / $216.68 / $379.76	Professional		$119.21	$216.68	$379.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.56 / $234.45 / $299.58	Facility		$187.56	$234.45	$299.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $260.50 / $373.75	Professional		$169.33	$260.50	$373.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.32 / $260.50 / $498.86	Professional		$169.32	$260.50	$498.86
United Facility/Professional Facility Modifier Low / Median / High Price $156.30 / $307.39 / $312.60	Facility		$156.30	$307.39	$312.60
United Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $135.46 / $260.50	Professional		$130.25	$135.46	$260.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $488.03 / $1,237.38 / $1,237.38	Facility		$488.03	$1,237.38	$1,237.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,302.50 / $1,302.50 / $1,953.75	Professional		$1,302.50	$1,302.50	$1,953.75