Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.37 / $154.37 / $266.31	Facility		$154.37	$154.37	$266.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $154.37 / $154.37	Professional		$77.62	$154.37	$154.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.59 / $261.50 / $322.05	Facility		$160.59	$261.50	$322.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $132.22 / $132.22	Professional		$100.49	$132.22	$132.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.05 / $110.16 / $110.16	Facility		$109.05	$110.16	$110.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $110.16 / $204.38	Professional		$80.42	$110.16	$204.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $154.37 / $207.36	Facility		$56.78	$154.37	$207.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $119.87	Professional		$99.00	$99.00	$119.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $264.80 / $264.80 / $407.10	Professional		$264.80	$264.80	$407.10
United Facility/Professional Professional Modifier Low / Median / High Price $67.12 / $87.95 / $134.59	Professional		$67.12	$87.95	$134.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $330.95 / $1,013.03 / $1,013.03	Facility		$330.95	$1,013.03	$1,013.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,170.59 / $1,170.59 / $1,654.73	Professional		$1,170.59	$1,170.59	$1,654.73