Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.93 / $412.65 / $1,245.00	Facility		$280.93	$412.65	$1,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.23 / $412.65 / $714.87	Professional		$327.23	$412.65	$714.87
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 $363.73 / $556.51 / $965.30	Professional		$363.73	$556.51	$965.30
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 $363.78 / $508.93 / $911.96	Professional		$363.78	$508.93	$911.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $376.69 / $468.20 / $712.75	Facility		$376.69	$468.20	$712.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $429.88 / $463.00 / $563.00	Professional		$429.88	$463.00	$563.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $557.05 / $614.58 / $789.14	Professional		$557.05	$614.58	$789.14
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 $318.50 / $457.25 / $1,110.78	Professional		$318.50	$457.25	$1,110.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,049.10 / $2,049.10	Facility		$55.00	$2,049.10	$2,049.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,863.36 / $3,142.48 / $3,738.23	Professional		$2,863.36	$3,142.48	$3,738.23