Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.55 / $218.55 / $377.00	Facility		$218.55	$218.55	$377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.26 / $218.55 / $218.55	Professional		$115.26	$218.55	$218.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.10 / $240.12 / $455.94	Facility		$200.10	$240.12	$455.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.27 / $187.19 / $187.19	Professional		$142.27	$187.19	$187.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.38 / $185.61 / $185.61	Facility		$154.38	$185.61	$185.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $185.61 / $332.63	Professional		$135.50	$185.61	$332.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.38 / $218.55 / $285.27	Facility		$80.38	$218.55	$285.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $169.70	Professional		$140.00	$140.00	$169.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.20 / $398.20 / $614.00	Professional		$398.20	$398.20	$614.00
United Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $195.26 / $195.26	Facility		$195.26	$195.26	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $124.52 / $187.56	Professional		$95.67	$124.52	$187.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $499.19 / $1,580.75 / $1,580.75	Facility		$499.19	$1,580.75	$1,580.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,713.56 / $1,713.56 / $2,495.92	Professional		$1,713.56	$1,713.56	$2,495.92