Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $426.58 / $4,466.84	Facility		$295.12	$426.58	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $794.33	Professional		$275.42	$346.74	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $117.49	Facility		$114.82	$114.82	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $851.14	Professional		$316.23	$478.63	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $724.44	Professional		$309.03	$416.87	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $776.25	Professional		$478.63	$478.63	$776.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $389.05 / $602.56	Facility		$295.12	$389.05	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $724.44	Professional		$478.63	$562.34	$724.44
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 $251.19 / $331.13 / $616.60	Professional		$251.19	$331.13	$616.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $28,840.32	Facility		$2,630.27	$2,630.27	$28,840.32
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility	54	$1,318.26	$1,318.26	$1,318.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,951.21	Professional		$2,454.71	$2,454.71	$2,951.21