Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $372.11 / $4,376.00	Facility		$206.72	$372.11	$4,376.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $320.45 / $551.90	Professional		$190.40	$320.45	$551.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.88 / $369.46 / $675.71	Professional		$207.88	$369.46	$675.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.54 / $319.60 / $750.66	Professional		$218.54	$319.60	$750.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $367.14 / $519.05	Facility		$206.72	$367.14	$519.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $406.81 / $406.81 / $600.00	Professional		$406.81	$406.81	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $180.58 / $335.15 / $595.66	Professional		$180.58	$335.15	$595.66
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.76 / $349.82 / $803.97	Professional		$244.76	$349.82	$803.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,475.04 / $1,475.04 / $16,394.00	Facility		$1,475.04	$1,475.04	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,558.56 / $2,741.92 / $3,217.73	Professional		$1,558.56	$2,741.92	$3,217.73