Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.38 / $118.38 / $204.22	Facility		$118.38	$118.38	$204.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $118.38 / $118.38	Professional		$65.97	$118.38	$118.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.14 / $200.54 / $246.97	Facility		$123.14	$200.54	$246.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $101.40 / $101.40	Professional		$77.06	$101.40	$101.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.63 / $112.36 / $112.36	Facility		$83.63	$112.36	$112.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $112.36 / $193.13	Professional		$82.02	$112.36	$193.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $118.38 / $159.01	Facility		$43.54	$118.38	$159.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $76.00 / $91.92	Professional		$76.00	$76.00	$91.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $166.60 / $256.10	Professional		$166.60	$166.60	$256.10
United Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $67.45 / $103.22	Professional		$51.82	$67.45	$103.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $224.85 / $715.54 / $715.54	Facility		$224.85	$715.54	$715.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $892.29 / $892.29 / $1,041.23	Professional		$892.29	$892.29	$1,041.23