Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $339.19 / $339.19	Facility		$78.00	$339.19	$339.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $112.04 / $339.19	Professional		$106.70	$112.04	$339.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.47 / $137.47 / $262.57	Facility		$137.47	$137.47	$262.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $95.03 / $101.36	Professional		$88.21	$95.03	$101.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $106.70 / $106.70	Facility		$100.66	$106.70	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $373.33	Professional		$106.70	$106.70	$373.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.03 / $257.98 / $620.40	Facility		$146.03	$257.98	$620.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $167.68 / $191.94	Professional		$167.68	$167.68	$191.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $125.60 / $125.60	Professional		$125.60	$125.60	$125.60
United Facility/Professional Facility Modifier Low / Median / High Price $61.88 / $108.80 / $147.15	Facility		$61.88	$108.80	$147.15
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $152.58	Professional		$106.70	$106.70	$152.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $479.40 / $479.40 / $604.19	Facility		$479.40	$479.40	$604.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,448.75 / $1,448.75 / $1,448.75	Professional		$1,448.75	$1,448.75	$1,448.75