Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.20 / $400.25 / $5,449.00	Facility		$256.20	$400.25	$5,449.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.16 / $199.86 / $310.27	Facility	54	$192.16	$199.86	$310.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.18 / $269.06 / $505.59	Professional		$231.18	$269.06	$505.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.89 / $115.89 / $117.58	Facility		$115.89	$115.89	$117.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $392.72 / $694.88	Professional		$260.08	$392.72	$694.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $606.10	Facility		$221.28	$221.28	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.94 / $365.04 / $647.76	Professional		$265.94	$365.04	$647.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $256.20 / $321.51 / $505.40	Facility		$256.20	$321.51	$505.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $307.13 / $332.00 / $367.00	Professional		$307.13	$332.00	$367.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $378.80 / $438.78 / $521.16	Professional		$378.80	$438.78	$521.16
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.60 / $311.64 / $736.79	Professional		$222.60	$311.64	$736.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,562.20 / $1,562.20	Facility		$55.00	$1,562.20	$1,562.20
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $491.15 / $990.65 / $990.65	Facility	54	$491.15	$990.65	$990.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,963.28 / $2,051.52 / $2,435.33	Professional		$1,963.28	$2,051.52	$2,435.33