Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.47 / $655.52 / $7,278.00	Facility		$420.47	$655.52	$7,278.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $315.35 / $346.67 / $535.74	Facility	54	$315.35	$346.67	$535.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.47 / $462.22 / $829.62	Professional		$420.47	$462.22	$829.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.49 / $736.22 / $1,221.02	Professional		$466.49	$736.22	$1,221.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $1,438.74	Facility		$530.04	$530.04	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.24 / $630.70 / $1,125.25	Professional		$468.24	$630.70	$1,125.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $420.47 / $569.89 / $903.91	Facility		$420.47	$569.89	$903.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $572.00 / $626.00	Professional		$507.00	$572.00	$626.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $620.19 / $725.92 / $898.83	Professional		$620.19	$725.92	$898.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.25 / $558.22 / $1,336.48	Professional		$391.25	$558.22	$1,336.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,521.40 / $2,521.40 / $16,394.00	Facility		$2,521.40	$2,521.40	$16,394.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $788.49 / $1,575.82 / $1,575.82	Facility	54	$788.49	$1,575.82	$1,575.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,170.80 / $3,497.68 / $4,162.28	Professional		$3,170.80	$3,497.68	$4,162.28