Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.49 / $392.94 / $468.00	Facility		$279.49	$392.94	$468.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $209.62 / $226.73 / $351.00	Facility	54	$209.62	$226.73	$351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.53 / $302.30 / $582.74	Professional		$248.53	$302.30	$582.74
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 $292.25 / $443.16 / $789.26	Professional		$292.25	$443.16	$789.26
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 $283.58 / $398.36 / $737.12	Professional		$283.58	$398.36	$737.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $279.49 / $362.76 / $562.91	Facility		$279.49	$362.76	$562.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $344.79 / $375.00 / $418.00	Professional		$344.79	$375.00	$418.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $417.23 / $460.32 / $590.40	Professional		$417.23	$460.32	$590.40
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 $252.91 / $354.08 / $733.02	Professional		$252.91	$354.08	$733.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,550.40 / $1,550.40	Facility		$55.00	$1,550.40	$1,550.40
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $538.27 / $1,085.28 / $1,085.28	Facility	54	$538.27	$1,085.28	$1,085.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,150.80 / $2,332.16 / $2,763.98	Professional		$2,150.80	$2,332.16	$2,763.98