Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $288.40 / $302.00	Facility		$72.44	$288.40	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $95.50	Professional		$61.66	$74.13	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $295.12 / $338.84	Facility		$177.83	$295.12	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $245.47	Professional		$83.18	$95.50	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $144.54 / $239.88	Facility		$63.10	$144.54	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $131.83	Facility		$74.13	$87.10	$131.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $154.88	Professional		$141.25	$141.25	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $112.20 / $138.04	Facility		$67.61	$112.20	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $117.49	Professional		$38.90	$56.23	$117.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $691.83	Professional		$457.09	$457.09	$691.83