Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.55 / $511.18 / $5,449.00	Facility		$165.55	$511.18	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.79 / $354.44 / $635.91	Professional		$318.79	$354.44	$635.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,461.99 / $1,461.99 / $1,483.32	Facility		$1,461.99	$1,461.99	$1,483.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.59 / $528.67 / $932.42	Professional		$345.59	$528.67	$932.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,438.74	Facility		$395.75	$395.75	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.59 / $478.20 / $859.35	Professional		$356.59	$478.20	$859.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $329.71 / $425.33 / $666.11	Facility		$329.71	$425.33	$666.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $433.00 / $484.00	Professional		$378.00	$433.00	$484.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $487.99 / $573.84 / $687.29	Professional		$487.99	$573.84	$687.29
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 $296.22 / $414.71 / $859.71	Professional		$296.22	$414.71	$859.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,393.94 / $2,393.94 / $12,000.00	Facility		$2,393.94	$2,393.94	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,507.44 / $2,703.12 / $3,219.15	Professional		$2,507.44	$2,703.12	$3,219.15