Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.45 / $165.45 / $335.79	Facility		$165.45	$165.45	$335.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $165.45 / $165.45	Professional		$99.45	$165.45	$165.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.24 / $213.89 / $406.09	Facility		$178.24	$213.89	$406.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.77 / $166.73 / $183.40	Professional		$154.77	$166.73	$183.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.51 / $182.31 / $182.31	Facility		$137.51	$182.31	$182.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $182.31 / $326.63	Professional		$133.09	$182.31	$326.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $165.45 / $261.48	Facility		$71.59	$165.45	$261.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $156.00	Professional		$125.00	$125.00	$156.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $354.60 / $354.60 / $546.90	Professional		$354.60	$354.60	$546.90
United Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $110.90 / $170.90	Professional		$92.42	$110.90	$170.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $541.78 / $1,407.90 / $1,407.90	Facility		$541.78	$1,407.90	$1,407.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,754.01 / $1,754.01 / $2,223.00	Professional		$1,754.01	$1,754.01	$2,223.00