Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.64 / $117.81 / $263.22	Facility		$76.64	$117.81	$263.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $99.39 / $193.60	Professional		$75.15	$99.39	$193.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.59 / $221.72 / $221.72	Facility		$182.59	$221.72	$221.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $71.84 / $134.66	Professional		$63.59	$71.84	$134.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.79 / $133.44 / $251.76	Facility		$72.79	$133.44	$251.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.48 / $98.18 / $172.62	Professional		$44.48	$98.18	$172.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.81 / $74.81 / $138.91	Facility		$74.81	$74.81	$138.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $68.29 / $74.81	Professional		$68.29	$68.29	$74.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $795.22 / $795.22 / $2,077.30	Facility		$795.22	$795.22	$2,077.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $95.80 / $101.07	Professional		$95.80	$95.80	$101.07
United Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $57.48 / $98.67	Professional		$37.40	$57.48	$98.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $166.69 / $455.05 / $455.05	Facility		$166.69	$455.05	$455.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $487.81 / $487.81 / $718.50	Professional		$487.81	$487.81	$718.50