Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.62 / $689.00 / $5,449.00	Facility		$468.62	$689.00	$5,449.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $351.47 / $358.45 / $552.96	Facility	54	$351.47	$358.45	$552.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.62 / $493.57 / $897.56	Professional		$468.62	$493.57	$897.56
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 $477.05 / $724.20 / $1,330.65	Professional		$477.05	$724.20	$1,330.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $395.75	Facility		$221.28	$221.28	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.37 / $663.34 / $1,162.85	Professional		$493.37	$663.34	$1,162.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $468.62 / $588.66 / $921.62	Facility		$468.62	$588.66	$921.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $589.00 / $641.00	Professional		$378.00	$589.00	$641.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $736.57 / $1,263.30	Professional		$4.00	$736.57	$1,263.30
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 $402.75 / $572.28 / $1,166.21	Professional		$402.75	$572.28	$1,166.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,798.50 / $2,798.50 / $12,000.00	Facility		$2,798.50	$2,798.50	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $874.78 / $1,744.73 / $1,744.73	Facility	54	$874.78	$1,744.73	$1,744.73
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,520.80 / $3,582.88 / $4,262.39	Professional		$3,520.80	$3,582.88	$4,262.39