Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.08 / $396.40 / $5,449.00	Facility		$288.08	$396.40	$5,449.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $222.20 / $240.02 / $372.71	Facility	54	$222.20	$240.02	$372.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $320.02 / $574.32	Professional		$266.30	$320.02	$574.32
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 $313.08 / $470.45 / $834.61	Professional		$313.08	$470.45	$834.61
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 $308.22 / $427.06 / $779.75	Professional		$308.22	$427.06	$779.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $384.04 / $605.90	Facility		$296.27	$384.04	$605.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $369.57 / $399.00 / $440.00	Professional		$369.57	$399.00	$440.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $453.50 / $869.60	Professional		$3.00	$453.50	$869.60
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 $267.06 / $373.89 / $774.28	Professional		$267.06	$373.89	$774.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,443.16 / $1,630.87 / $12,000.00	Facility		$1,443.16	$1,630.87	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $566.71 / $1,141.60 / $1,141.60	Facility	54	$566.71	$1,141.60	$1,141.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,267.28 / $2,455.76 / $2,916.08	Professional		$2,267.28	$2,455.76	$2,916.08