Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $721.20 / $7,278.00	Facility		$140.00	$721.20	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.59 / $528.21 / $978.79	Professional		$495.59	$528.21	$978.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.22 / $749.75 / $1,374.28	Professional		$507.22	$749.75	$1,374.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $530.04	Facility		$221.28	$221.28	$530.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.88 / $678.70 / $1,167.75	Professional		$492.88	$678.70	$1,167.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $520.96 / $607.00 / $948.92	Facility		$520.96	$607.00	$948.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $594.00 / $703.00	Professional		$507.00	$594.00	$703.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $719.90 / $821.92 / $899.69	Professional		$719.90	$821.92	$899.69
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 $420.40 / $593.40 / $1,238.94	Professional		$420.40	$593.40	$1,238.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,029.48 / $2,791.53 / $16,394.00	Facility		$2,029.48	$2,791.53	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,929.60 / $3,929.60 / $4,680.97	Professional		$3,929.60	$3,929.60	$4,680.97