Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.02 / $124.02 / $251.69	Facility		$124.02	$124.02	$251.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $124.02 / $124.02	Professional		$72.19	$124.02	$124.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.58 / $160.29 / $304.38	Facility		$133.58	$160.29	$304.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $124.96 / $124.97	Professional		$116.00	$124.96	$124.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $103.07	Facility		$97.54	$97.54	$103.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $97.54 / $174.75	Professional		$71.20	$97.54	$174.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $124.02 / $185.79	Facility		$46.88	$124.02	$185.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $94.00 / $117.00	Professional		$94.00	$94.00	$117.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $210.10 / $210.10 / $323.10	Professional		$210.10	$210.10	$323.10
United Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $83.12 / $120.53	Professional		$63.87	$83.12	$120.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $315.08 / $921.88 / $921.88	Facility		$315.08	$921.88	$921.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,020.06 / $1,020.06 / $1,313.25	Professional		$1,020.06	$1,020.06	$1,313.25