Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.22 / $368.16 / $5,449.00	Facility		$162.22	$368.16	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $225.50 / $457.34	Professional		$149.40	$225.50	$457.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.75 / $639.75 / $649.09	Facility		$639.75	$639.75	$649.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.31 / $301.69 / $658.43	Professional		$173.31	$301.69	$658.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,215.60	Facility		$395.75	$395.75	$1,215.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.99 / $301.29 / $573.12	Professional		$176.99	$301.29	$573.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.22 / $294.54 / $424.18	Facility		$162.22	$294.54	$424.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $270.93 / $306.00 / $400.00	Professional		$270.93	$306.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $400.70 / $652.10	Professional		$3.00	$400.70	$652.10
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 $224.39 / $299.18 / $691.03	Professional		$224.39	$299.18	$691.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $779.76 / $872.05 / $12,000.00	Facility		$779.76	$872.05	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,225.35 / $2,148.71 / $2,554.13	Professional		$1,225.35	$2,148.71	$2,554.13