Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $147.91 / $151.36	Professional		$144.54	$147.91	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $457.09	Professional		$426.58	$426.58	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $169.82 / $218.78	Facility		$147.91	$169.82	$218.78
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 $181.97 / $295.12 / $331.13	Facility		$181.97	$295.12	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $186.21	Professional		$181.97	$181.97	$186.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83