Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,174.90 / $1,258.93	Facility		$302.00	$1,174.90	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $371.54	Professional		$251.19	$302.00	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,174.90	Facility		$724.44	$1,122.02	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $338.84 / $676.08	Professional		$100.00	$338.84	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $588.84 / $977.24	Facility		$257.04	$588.84	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $338.84 / $549.54	Facility		$269.15	$338.84	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $724.44	Professional		$416.87	$489.78	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $416.87	Professional		$158.49	$223.87	$416.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,818.38	Professional		$1,862.09	$1,862.09	$2,818.38