Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $416.87 / $5,248.07	Facility		$239.88	$416.87	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $691.83	Professional		$245.47	$331.13	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $691.83	Professional		$257.04	$380.19	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $630.96	Professional		$251.19	$354.81	$630.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $676.08	Professional		$398.11	$398.11	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $512.86	Facility		$257.04	$338.84	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $630.96	Professional		$380.19	$467.74	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $724.44 / $1,949.84	Facility		$181.97	$724.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $537.03	Professional		$213.80	$275.42	$537.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $3,890.45 / $3,890.45	Facility		$56.23	$3,890.45	$3,890.45
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	54	$1,148.15	$1,148.15	$1,148.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,630.27	Professional		$2,187.76	$2,187.76	$2,630.27