Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.83 / $336.92 / $1,615.00	Facility		$286.83	$336.92	$1,615.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $225.23 / $252.69 / $388.10	Facility	54	$225.23	$252.69	$388.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.31 / $340.38 / $733.51	Professional		$276.31	$340.38	$733.51
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 $335.16 / $526.23 / $867.99	Professional		$335.16	$526.23	$867.99
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 $325.97 / $450.47 / $813.23	Professional		$325.97	$450.47	$813.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $300.31 / $404.30 / $678.70	Facility		$300.31	$404.30	$678.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $394.17 / $414.00 / $461.00	Professional		$394.17	$414.00	$461.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.00 / $500.72 / $665.64	Professional		$446.00	$500.72	$665.64
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 $282.23 / $395.32 / $817.25	Professional		$282.23	$395.32	$817.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,633.48 / $1,633.48	Facility		$55.00	$1,633.48	$1,633.48
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $571.23 / $1,143.44 / $1,143.44	Facility	54	$571.23	$1,143.44	$1,143.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,292.08 / $2,573.60 / $3,052.20	Professional		$2,292.08	$2,573.60	$3,052.20