Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.35 / $512.22 / $5,449.00	Facility		$153.35	$512.22	$5,449.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $353.81 / $384.17 / $603.36	Facility	54	$353.81	$384.17	$603.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.03 / $512.22 / $1,041.59	Professional		$448.03	$512.22	$1,041.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.99 / $812.46 / $1,373.10	Professional		$528.99	$812.46	$1,373.10
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 $527.73 / $702.91 / $1,260.77	Professional		$527.73	$702.91	$1,260.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $471.75 / $632.91 / $1,019.08	Facility		$471.75	$632.91	$1,019.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $643.00 / $687.00	Professional		$378.00	$643.00	$687.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $702.80 / $1,376.80	Professional		$4.00	$702.80	$1,376.80
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 $441.39 / $622.54 / $1,395.24	Professional		$441.39	$622.54	$1,395.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,799.60 / $2,799.60 / $12,000.00	Facility		$2,799.60	$2,799.60	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $873.36 / $1,733.89 / $1,733.89	Facility	54	$873.36	$1,733.89	$1,733.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,524.16 / $3,843.92 / $4,573.43	Professional		$3,524.16	$3,843.92	$4,573.43