Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.20 / $741.26 / $5,449.00	Facility		$490.20	$741.26	$5,449.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $367.65 / $387.41 / $609.90	Facility	54	$367.65	$387.41	$609.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.39 / $516.54 / $949.17	Professional		$451.39	$516.54	$949.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.02 / $783.52 / $1,411.54	Professional		$529.02	$783.52	$1,411.54
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 $524.72 / $719.16 / $1,287.30	Professional		$524.72	$719.16	$1,287.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $490.20 / $623.84 / $1,023.73	Facility		$490.20	$623.84	$1,023.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $650.00 / $695.00	Professional		$378.00	$650.00	$695.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $711.00 / $1,399.50	Professional		$4.00	$711.00	$1,399.50
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 $437.50 / $620.21 / $1,266.83	Professional		$437.50	$620.21	$1,266.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,920.45 / $2,920.45 / $12,000.00	Facility		$2,920.45	$2,920.45	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $912.38 / $1,817.51 / $1,817.51	Facility	54	$912.38	$1,817.51	$1,817.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,674.72 / $3,884.72 / $4,621.58	Professional		$3,674.72	$3,884.72	$4,621.58