Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.92 / $466.92 / $947.62	Facility		$466.92	$466.92	$947.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.43 / $466.92 / $466.92	Professional		$292.43	$466.92	$466.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $571.52 / $930.57 / $1,146.02	Facility		$571.52	$930.57	$1,146.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.58 / $470.50 / $470.50	Professional		$357.58	$470.50	$470.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.06 / $468.67 / $468.67	Facility		$388.06	$468.67	$468.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $468.67 / $840.00	Professional		$342.13	$468.67	$840.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $466.92 / $706.47	Facility		$201.85	$466.92	$706.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $353.00 / $353.00 / $441.00	Professional		$353.00	$353.00	$441.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $818.50 / $818.50 / $1,258.50	Professional		$818.50	$818.50	$1,258.50
United Facility/Professional Facility Modifier Low / Median / High Price $383.20 / $383.20 / $383.20	Facility		$383.20	$383.20	$383.20
United Facility/Professional Professional Modifier Low / Median / High Price $260.55 / $312.97 / $481.80	Professional		$260.55	$312.97	$481.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,255.05 / $3,969.20 / $3,969.20	Facility		$1,255.05	$3,969.20	$3,969.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,062.83 / $4,062.83 / $5,115.60	Professional		$4,062.83	$4,062.83	$5,115.60