Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.78 / $133.78 / $271.49	Facility		$133.78	$133.78	$271.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.87 / $133.78 / $133.78	Professional		$77.87	$133.78	$133.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.72 / $266.62 / $328.35	Facility		$163.72	$266.62	$328.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.13 / $134.81 / $143.79	Professional		$125.13	$134.81	$143.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.18 / $113.25 / $113.25	Facility		$111.18	$113.25	$113.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $113.25 / $207.75	Professional		$82.67	$113.25	$207.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.48 / $133.78 / $202.40	Facility		$51.48	$133.78	$202.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $127.00	Professional		$101.00	$101.00	$127.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $254.40 / $254.40 / $391.10	Professional		$254.40	$254.40	$391.10
United Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $89.67 / $129.41	Professional		$68.89	$89.67	$129.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $357.58 / $1,012.42 / $1,012.42	Facility		$357.58	$1,012.42	$1,012.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,157.54 / $1,157.54 / $1,589.78	Professional		$1,157.54	$1,157.54	$1,589.78