Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.69 / $368.69 / $636.04	Facility		$368.69	$368.69	$636.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.37 / $368.69 / $368.69	Professional		$169.37	$368.69	$368.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.59 / $405.11 / $769.18	Facility		$337.59	$405.11	$769.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.14 / $315.80 / $336.85	Professional		$293.14	$315.80	$336.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.47 / $264.44 / $264.44	Facility		$260.47	$264.44	$264.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $264.44 / $499.50	Professional		$193.04	$264.44	$499.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.55 / $368.69 / $479.30	Facility		$132.55	$368.69	$479.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $237.00 / $296.00	Professional		$237.00	$237.00	$296.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $658.50 / $658.50 / $1,012.40	Professional		$658.50	$658.50	$1,012.40
United Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $208.19 / $311.51	Professional		$160.31	$208.19	$311.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $823.11 / $2,606.52 / $2,606.52	Facility		$823.11	$2,606.52	$2,606.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,766.14 / $3,766.14 / $4,115.55	Professional		$3,766.14	$3,766.14	$4,115.55