Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.88 / $903.00 / $7,362.00	Facility		$458.88	$903.00	$7,362.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $344.16 / $344.16 / $536.34	Facility	54	$344.16	$344.16	$536.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.88 / $482.70 / $885.08	Professional		$458.88	$482.70	$885.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.40 / $914.72 / $1,310.87	Professional		$507.40	$914.72	$1,310.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,438.74	Facility		$395.75	$395.75	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.43 / $639.16 / $1,148.91	Professional		$486.43	$639.16	$1,148.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $458.88 / $592.00 / $918.08	Facility		$458.88	$592.00	$918.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $571.00 / $616.00	Professional		$378.00	$571.00	$616.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $703.16 / $1,220.50	Professional		$4.00	$703.16	$1,220.50
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 $392.90 / $574.54 / $1,123.71	Professional		$392.90	$574.54	$1,123.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,225.05 / $4,754.80 / $12,000.00	Facility		$2,225.05	$4,754.80	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $761.96 / $1,896.69 / $3,154.80	Facility	54	$761.96	$1,896.69	$3,154.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,446.80 / $3,446.80 / $4,101.45	Professional		$3,446.80	$3,446.80	$4,101.45