Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.97 / $202.97 / $350.14	Facility		$202.97	$202.97	$350.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.22 / $202.97 / $202.97	Professional		$106.22	$202.97	$202.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.86 / $223.03 / $423.45	Facility		$185.86	$223.03	$423.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $173.85 / $173.85	Professional		$132.13	$173.85	$173.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.38 / $144.84 / $144.84	Facility		$143.38	$144.84	$144.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $114.70 / $269.63	Professional		$105.73	$114.70	$269.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.66 / $202.97 / $263.86	Facility		$74.66	$202.97	$263.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $157.61	Professional		$130.00	$130.00	$157.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.90 / $332.90 / $511.90	Professional		$332.90	$332.90	$511.90
United Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $115.64 / $176.96	Professional		$88.85	$115.64	$176.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $416.18 / $1,468.08 / $1,468.08	Facility		$416.18	$1,468.08	$1,468.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,483.54 / $1,483.54 / $2,080.88	Professional		$1,483.54	$1,483.54	$2,080.88