Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.70 / $260.70 / $529.09	Facility		$260.70	$260.70	$529.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $260.70 / $260.70	Professional		$156.69	$260.70	$260.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.83 / $337.00 / $639.85	Facility		$280.83	$337.00	$639.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.65 / $262.70 / $262.70	Professional		$199.65	$262.70	$262.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.67 / $243.19 / $243.19	Facility		$216.67	$243.19	$243.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $243.19 / $435.75	Professional		$177.53	$243.19	$435.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.81 / $260.70 / $408.49	Facility		$112.81	$260.70	$408.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $197.00 / $246.00	Professional		$197.00	$197.00	$246.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $420.30 / $420.30 / $646.29	Professional		$420.30	$420.30	$646.29
United Facility/Professional Professional Modifier Low / Median / High Price $134.26 / $174.74 / $274.14	Professional		$134.26	$174.74	$274.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $831.27 / $2,218.35 / $2,218.35	Facility		$831.27	$2,218.35	$2,218.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,690.96 / $2,690.96 / $2,690.96	Professional		$2,690.96	$2,690.96	$2,690.96