Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.28 / $244.28 / $421.40	Facility		$244.28	$244.28	$421.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $244.28 / $244.28	Professional		$119.10	$244.28	$244.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.66 / $268.39 / $509.63	Facility		$223.66	$268.39	$509.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.01 / $209.23 / $209.23	Professional		$159.01	$209.23	$209.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $174.32 / $174.32	Facility		$125.00	$174.32	$174.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $174.32 / $323.25	Professional		$127.25	$174.32	$323.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $244.28 / $328.12	Facility		$89.85	$244.28	$328.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $189.68	Professional		$157.00	$157.00	$189.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.70 / $407.70 / $626.90	Professional		$407.70	$407.70	$626.90
United Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $139.18 / $209.65	Professional		$106.21	$139.18	$209.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $509.61 / $1,766.81 / $1,766.81	Facility		$509.61	$1,766.81	$1,766.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,897.56 / $1,897.56 / $2,548.05	Professional		$1,897.56	$1,897.56	$2,548.05