Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $217.76 / $245.45 / $369.74	Facility	54	$217.76	$245.45	$369.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.06 / $327.27 / $595.27	Professional		$264.06	$327.27	$595.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.73 / $473.03 / $830.10	Professional		$309.73	$473.03	$830.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.86 / $419.84 / $780.16	Professional		$296.86	$419.84	$780.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $365.37 / $395.00 / $449.00	Professional		$365.37	$395.00	$449.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $507.29 / $657.05	Professional		$432.00	$507.29	$657.05
United Facility/Professional Professional Modifier Low / Median / High Price $272.26 / $385.98 / $788.77	Professional		$272.26	$385.98	$788.77
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $554.92 / $1,118.17 / $1,118.17	Facility	54	$554.92	$1,118.17	$1,118.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,220.71 / $2,507.04 / $2,979.75	Professional		$2,220.71	$2,507.04	$2,979.75