Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $870.96 / $1,621.81	Facility		$81.28	$870.96	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $269.15	Professional		$154.88	$213.80	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $363.08 / $724.44	Facility		$302.00	$363.08	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $275.42 / $295.12	Professional		$269.15	$275.42	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $275.42 / $275.42	Facility		$77.62	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $478.63	Professional		$234.42	$234.42	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $245.47	Professional		$169.82	$181.97	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $295.12 / $512.86	Facility		$151.36	$295.12	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $229.09 / $245.47	Facility		$128.82	$229.09	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $257.04	Professional		$141.25	$181.97	$257.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $3,019.95	Professional		$1,949.84	$1,949.84	$3,019.95