Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.98 / $370.40 / $4,311.00	Facility		$279.98	$370.40	$4,311.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $209.99 / $225.64 / $352.49	Facility	54	$209.99	$225.64	$352.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.95 / $310.41 / $649.84	Professional		$276.95	$310.41	$649.84
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 $294.92 / $441.13 / $790.25	Professional		$294.92	$441.13	$790.25
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 $289.79 / $404.23 / $736.92	Professional		$289.79	$404.23	$736.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $279.98 / $361.02 / $576.96	Facility		$279.98	$361.02	$576.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $351.47 / $377.00 / $414.00	Professional		$351.47	$377.00	$414.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $417.00 / $460.06 / $581.08	Professional		$417.00	$460.06	$581.08
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 $253.73 / $365.28 / $720.96	Professional		$253.73	$365.28	$720.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,541.95 / $1,541.95	Facility		$55.00	$1,541.95	$1,541.95
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $537.15 / $1,079.36 / $1,079.36	Facility	54	$537.15	$1,079.36	$1,079.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,151.28 / $2,313.52 / $2,745.38	Professional		$2,151.28	$2,313.52	$2,745.38