Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.74 / $271.74 / $551.50	Facility		$271.74	$271.74	$551.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $271.74 / $271.74	Professional		$163.33	$271.74	$271.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.70 / $351.25 / $666.95	Facility		$292.70	$351.25	$666.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.11 / $273.83 / $273.83	Professional		$208.11	$273.83	$273.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.84 / $274.64 / $274.64	Facility		$225.84	$274.64	$274.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $274.64 / $471.38	Professional		$200.49	$274.64	$471.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.59 / $271.74 / $411.15	Facility		$117.59	$271.74	$411.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $205.00 / $257.00	Professional		$205.00	$205.00	$257.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $513.60 / $513.60 / $789.70	Professional		$513.60	$513.60	$789.70
United Facility/Professional Professional Modifier Low / Median / High Price $151.79 / $182.14 / $280.68	Professional		$151.79	$182.14	$280.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $852.76 / $2,312.30 / $2,312.30	Facility		$852.76	$2,312.30	$2,312.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,760.30 / $2,760.30 / $3,209.93	Professional		$2,760.30	$2,760.30	$3,209.93