Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.83 / $404.51 / $5,449.00	Facility		$263.83	$404.51	$5,449.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $197.87 / $215.94 / $335.06	Facility	54	$197.87	$215.94	$335.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.65 / $287.92 / $588.35	Professional		$236.65	$287.92	$588.35
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 $280.52 / $420.80 / $751.02	Professional		$280.52	$420.80	$751.02
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 $276.66 / $381.87 / $701.26	Professional		$276.66	$381.87	$701.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.83 / $345.50 / $544.11	Facility		$263.83	$345.50	$544.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.62 / $358.00 / $400.00	Professional		$331.62	$358.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $392.74 / $461.81 / $566.41	Professional		$392.74	$461.81	$566.41
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 $241.37 / $335.12 / $699.35	Professional		$241.37	$335.12	$699.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,287.32 / $1,455.50 / $12,000.00	Facility		$1,287.32	$1,455.50	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $505.60 / $1,018.85 / $1,018.85	Facility	54	$505.60	$1,018.85	$1,018.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,022.32 / $2,213.19 / $2,627.78	Professional		$2,022.32	$2,213.19	$2,627.78