Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.45 / $903.00 / $7,362.00	Facility		$188.45	$903.00	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.61 / $196.23 / $362.36	Professional		$183.61	$196.23	$362.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.67 / $575.67 / $584.08	Facility		$575.67	$575.67	$584.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.10 / $275.10 / $490.21	Professional		$154.10	$275.10	$490.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,128.25	Facility		$395.75	$395.75	$1,128.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.84 / $263.62 / $470.38	Professional		$193.84	$263.62	$470.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $188.45 / $237.44 / $369.23	Facility		$188.45	$237.44	$369.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $217.20 / $232.00 / $400.00	Professional		$217.20	$232.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $265.80 / $501.70	Professional		$5.00	$265.80	$501.70
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,733.00 / $6,543.00	Facility		$900.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.21 / $223.70 / $497.97	Professional		$156.21	$223.70	$497.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,108.14 / $3,728.65 / $12,000.00	Facility		$1,108.14	$3,728.65	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,054.09 / $8,054.09 / $8,054.09	Professional		$8,054.09	$8,054.09	$8,054.09