Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.77 / $420.57 / $7,439.00	Facility		$196.77	$420.57	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.69 / $196.77 / $219.83	Professional		$186.69	$196.77	$219.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.08 / $575.08 / $583.47	Facility		$575.08	$575.08	$583.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.79 / $227.92 / $417.59	Professional		$145.79	$227.92	$417.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.28 / $820.28 / $820.28	Facility		$820.28	$820.28	$820.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.47 / $1,003.47 / $1,003.47	Professional		$1,003.47	$1,003.47	$1,003.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.82 / $183.96 / $275.48	Facility		$179.82	$183.96	$275.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $267.00	Professional		$183.96	$183.96	$267.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $253.50 / $253.50 / $253.50	Professional		$253.50	$253.50	$253.50
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.61 / $260.50 / $508.03	Professional		$173.61	$260.50	$508.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $468.34 / $2,366.16 / $2,710.90	Facility		$468.34	$2,366.16	$2,710.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,492.56 / $1,788.98 / $1,788.98	Professional		$1,492.56	$1,788.98	$1,788.98