Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $380.19	Professional		$181.97	$245.47	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $426.58 / $851.14	Facility		$354.81	$426.58	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $331.13 / $354.81	Professional		$323.59	$331.13	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $251.19 / $251.19	Facility		$93.33	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $501.19	Professional		$181.97	$181.97	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $281.84	Professional		$199.53	$218.78	$281.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $380.19 / $630.96	Facility		$177.83	$380.19	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $190.55 / $346.74	Facility		$128.82	$190.55	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $302.00	Professional		$158.49	$213.80	$302.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $3,162.28	Professional		$2,137.96	$2,137.96	$3,162.28