Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.05 / $4,311.00 / $5,449.00	Facility		$156.05	$4,311.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.05 / $245.65 / $434.84	Professional		$156.05	$245.65	$434.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $197.65 / $200.54	Facility		$197.65	$197.65	$200.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.97 / $331.91 / $580.35	Professional		$196.97	$331.91	$580.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.70 / $268.70 / $606.10	Facility		$268.70	$268.70	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.91 / $289.92 / $528.91	Professional		$186.91	$289.92	$528.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $156.05 / $261.48 / $455.00	Facility		$156.05	$261.48	$455.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $261.48 / $299.00 / $319.00	Professional		$261.48	$299.00	$319.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $255.70 / $397.47	Professional		$148.10	$255.70	$397.47
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 $204.99 / $282.45 / $596.72	Professional		$204.99	$282.45	$596.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $811.06 / $811.06	Facility		$55.00	$811.06	$811.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,168.96 / $1,794.08 / $2,087.63	Professional		$1,168.96	$1,794.08	$2,087.63