Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $467.74 / $5,495.41	Facility		$181.97	$467.74	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $380.19	Professional		$128.82	$158.49	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $117.49	Facility		$114.82	$114.82	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $380.19	Professional		$144.54	$263.03	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $346.74	Professional		$144.54	$199.53	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $346.74	Professional		$199.53	$199.53	$346.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $186.21 / $281.84	Facility		$141.25	$186.21	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $380.19	Professional		$218.78	$281.84	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $724.44 / $1,949.84	Facility		$181.97	$724.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $302.00	Professional		$117.49	$154.88	$302.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $19,498.45	Facility		$1,995.26	$1,995.26	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,348.96	Professional		$1,122.02	$1,122.02	$1,348.96