Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.93 / $425.93 / $864.42	Facility		$425.93	$425.93	$864.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.20 / $425.93 / $425.93	Professional		$305.20	$425.93	$425.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.80 / $550.55 / $1,045.40	Facility		$458.80	$550.55	$1,045.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.19 / $429.20 / $429.20	Professional		$326.19	$429.20	$429.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $493.58	Facility		$493.58	$493.58	$493.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $493.58 / $884.63	Professional		$360.31	$493.58	$884.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $184.31 / $425.93 / $644.42	Facility		$184.31	$425.93	$644.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $322.00 / $402.00	Professional		$322.00	$322.00	$402.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $686.70 / $686.70 / $1,055.80	Professional		$686.70	$686.70	$1,055.80
United Facility/Professional Professional Modifier Low / Median / High Price $219.35 / $285.49 / $447.89	Professional		$219.35	$285.49	$447.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,281.85 / $3,114.29 / $3,114.29	Facility		$1,281.85	$3,114.29	$3,114.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,433.55 / $3,433.55 / $4,291.95	Professional		$3,433.55	$3,433.55	$4,291.95