Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.23 / $148.93 / $388.30	Facility		$121.23	$148.93	$388.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $138.54 / $237.24	Professional		$115.16	$138.54	$237.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.36 / $473.70 / $577.34	Facility		$293.36	$473.70	$577.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $194.05 / $504.87	Professional		$135.19	$194.05	$504.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.58 / $240.86 / $454.60	Facility		$131.58	$240.86	$454.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $187.30 / $329.15	Professional		$81.53	$187.30	$329.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.54 / $271.00 / $411.00	Facility		$138.54	$271.00	$411.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.22 / $213.22 / $315.00	Professional		$213.22	$213.22	$315.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.56 / $173.17 / $331.62	Professional		$112.56	$173.17	$331.62
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $173.17 / $332.77	Professional		$103.90	$173.17	$332.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $301.32 / $822.56 / $822.56	Facility		$301.32	$822.56	$822.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,224.10 / $1,224.10 / $1,298.78	Professional		$1,224.10	$1,224.10	$1,298.78