Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.61 / $342.11 / $5,449.00	Facility		$216.61	$342.11	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $240.75 / $473.26	Professional		$194.49	$240.75	$473.26
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 $224.81 / $335.37 / $595.45	Professional		$224.81	$335.37	$595.45
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 $227.81 / $304.83 / $554.85	Professional		$227.81	$304.83	$554.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $216.61 / $274.19 / $421.73	Facility		$216.61	$274.19	$421.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $258.72 / $284.00 / $318.00	Professional		$258.72	$284.00	$318.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $324.52 / $358.04 / $441.58	Professional		$324.52	$358.04	$441.58
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 $190.55 / $264.58 / $552.24	Professional		$190.55	$264.58	$552.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,214.81 / $1,214.81	Facility		$55.00	$1,214.81	$1,214.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,679.76 / $1,775.12 / $2,103.00	Professional		$1,679.76	$1,775.12	$2,103.00