Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $758.58 / $6,918.31	Facility		$295.12	$758.58	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $575.44	Professional		$208.93	$257.04	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $398.11	Facility		$389.05	$389.05	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $616.60	Professional		$229.09	$331.13	$616.60
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 $229.09 / $316.23 / $549.54	Professional		$229.09	$316.23	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $562.34	Professional		$331.13	$331.13	$562.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $288.40 / $446.68	Facility		$223.87	$288.40	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $524.81	Professional		$346.74	$389.05	$524.81
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 $190.55 / $245.47 / $478.63	Professional		$190.55	$245.47	$478.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $19,498.45	Facility		$4,786.30	$4,786.30	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,187.76	Professional		$1,819.70	$1,819.70	$2,187.76