Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $132.88 / $132.88	Facility		$132.88	$132.88	$132.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $141.63	Professional		$132.88	$132.88	$141.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.70 / $323.52 / $457.73	Facility		$262.70	$323.52	$457.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.38 / $99.52 / $106.15	Professional		$92.38	$99.52	$106.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $134.88 / $134.88	Facility		$127.25	$134.88	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $158.28 / $225.90	Facility		$132.88	$158.28	$225.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.28 / $158.28 / $177.79	Professional		$158.28	$158.28	$177.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.90 / $192.90 / $287.00	Professional		$192.90	$192.90	$287.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $175.36	Professional		$134.88	$134.88	$175.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $179.42 / $199.01 / $633.20	Facility		$179.42	$199.01	$633.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $633.20 / $633.20 / $633.20	Professional		$633.20	$633.20	$633.20