Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.20 / $433.35 / $5,449.00	Facility		$308.20	$433.35	$5,449.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $231.15 / $258.85 / $391.69	Facility	54	$231.15	$258.85	$391.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.87 / $345.13 / $629.37	Professional		$286.87	$345.13	$629.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.30 / $493.83 / $879.02	Professional		$325.30	$493.83	$879.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $395.75	Facility		$221.28	$221.28	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.38 / $443.14 / $821.90	Professional		$314.38	$443.14	$821.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $308.20 / $403.44 / $634.83	Facility		$308.20	$403.44	$634.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $419.00 / $475.00	Professional		$378.00	$419.00	$475.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $460.32 / $539.84 / $688.95	Professional		$460.32	$539.84	$688.95
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 $286.50 / $417.27 / $933.62	Professional		$286.50	$417.27	$933.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,505.48 / $1,704.82 / $12,000.00	Facility		$1,505.48	$1,704.82	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $591.41 / $1,193.36 / $1,193.36	Facility	54	$591.41	$1,193.36	$1,193.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,364.32 / $2,653.04 / $3,151.50	Professional		$2,364.32	$2,653.04	$3,151.50