Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.41 / $481.14 / $5,449.00	Facility		$426.41	$481.14	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.33 / $462.61 / $830.38	Professional		$419.33	$462.61	$830.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.99 / $637.44 / $1,094.08	Professional		$443.99	$637.44	$1,094.08
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 $430.74 / $573.83 / $1,018.52	Professional		$430.74	$573.83	$1,018.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $436.13 / $501.00 / $804.51	Facility		$436.13	$501.00	$804.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $509.00 / $599.00	Professional		$378.00	$509.00	$599.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $614.10 / $698.80 / $764.93	Professional		$614.10	$698.80	$764.93
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 $347.31 / $504.80 / $1,048.90	Professional		$347.31	$504.80	$1,048.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,725.52 / $2,386.96 / $12,000.00	Facility		$1,725.52	$2,386.96	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,343.36 / $3,343.36 / $3,983.25	Professional		$3,343.36	$3,343.36	$3,983.25