Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.37 / $309.08 / $843.96	Facility		$124.37	$309.08	$843.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $115.69 / $159.07	Professional		$96.17	$115.69	$159.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.97 / $395.57 / $483.40	Facility		$244.97	$395.57	$483.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $151.38 / $391.26	Professional		$108.46	$151.38	$391.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.89 / $201.36 / $379.87	Facility		$109.89	$201.36	$379.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.12 / $159.04 / $275.60	Professional		$67.12	$159.04	$275.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.69 / $227.00 / $343.79	Facility		$115.69	$227.00	$343.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $178.53	Professional		$13.50	$13.50	$178.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $144.61 / $276.93	Professional		$94.00	$144.61	$276.93
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $144.61 / $285.64	Professional		$86.77	$144.61	$285.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $251.62 / $766.73 / $766.73	Facility		$251.62	$766.73	$766.73
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,085.40 / $1,085.40 / $1,085.40	Professional		$1,085.40	$1,085.40	$1,085.40