Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.94 / $303.94 / $616.85	Facility		$303.94	$303.94	$616.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.94 / $303.94 / $303.94	Professional		$192.94	$303.94	$303.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.01 / $605.74 / $745.99	Facility		$372.01	$605.74	$745.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.77 / $306.27 / $306.27	Professional		$232.77	$306.27	$306.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $299.52 / $299.52	Facility		$252.60	$299.52	$299.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $299.52 / $536.63	Professional		$218.65	$299.52	$536.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.52 / $303.94 / $480.33	Facility		$131.52	$303.94	$480.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $230.00 / $287.00	Professional		$230.00	$230.00	$287.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.20 / $575.20 / $884.40	Professional		$575.20	$575.20	$884.40
United Facility/Professional Professional Modifier Low / Median / High Price $156.52 / $203.73 / $319.61	Professional		$156.52	$203.73	$319.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $777.84 / $2,414.09 / $2,414.09	Facility		$777.84	$2,414.09	$2,414.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,528.21 / $2,528.21 / $3,595.13	Professional		$2,528.21	$2,528.21	$3,595.13