Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.03 / $1,245.00 / $7,439.00	Facility		$175.03	$1,245.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.95 / $175.03 / $196.80	Professional		$166.95	$175.03	$196.80
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 $123.03 / $230.49 / $372.66	Professional		$123.03	$230.49	$372.66
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 $898.20 / $898.20 / $898.20	Professional		$898.20	$898.20	$898.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.10 / $164.84 / $245.87	Facility		$161.10	$164.84	$245.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $164.84 / $241.00	Professional		$164.84	$164.84	$241.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.80 / $234.80 / $234.80	Professional		$234.80	$234.80	$234.80
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 $150.38 / $225.56 / $454.89	Professional		$150.38	$225.56	$454.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $423.04 / $2,366.16 / $2,710.90	Facility		$423.04	$2,366.16	$2,710.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,348.16 / $1,616.18 / $1,616.18	Professional		$1,348.16	$1,616.18	$1,616.18