Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,202.26 / $7,762.47	Facility		$162.18	$1,202.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $363.08	Professional		$114.82	$134.90	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $199.53 / $354.81	Professional		$13.49	$199.53	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $323.59	Professional		$134.90	$181.97	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $302.00	Professional		$208.93	$208.93	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $165.96 / $281.84	Facility		$125.89	$165.96	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $323.59	Professional		$186.21	$239.88	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,467.37 / $6,606.93	Facility		$1,202.26	$3,467.37	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $275.42	Professional		$107.15	$138.04	$275.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $28,840.32	Facility		$4,786.30	$4,786.30	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $1,513.56	Professional		$1,348.96	$1,513.56	$1,513.56