Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.52 / $1,008.13 / $3,837.00	Facility		$444.52	$1,008.13	$3,837.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $314.52 / $348.24 / $540.38	Facility	54	$314.52	$348.24	$540.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.50 / $464.32 / $879.61	Professional		$393.50	$464.32	$879.61
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 $478.96 / $701.68 / $1,186.42	Professional		$478.96	$701.68	$1,186.42
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 $472.77 / $640.19 / $1,146.57	Professional		$472.77	$640.19	$1,146.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $419.36 / $578.89 / $929.90	Facility		$419.36	$578.89	$929.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $576.00 / $632.00	Professional		$378.00	$576.00	$632.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $620.95 / $726.97 / $944.28	Professional		$620.95	$726.97	$944.28
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.14 / $583.44 / $1,256.16	Professional		$401.14	$583.44	$1,256.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,017.96 / $2,243.85 / $12,000.00	Facility		$2,017.96	$2,243.85	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $788.22 / $1,570.70 / $1,570.70	Facility	54	$788.22	$1,570.70	$1,570.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,173.92 / $3,531.76 / $4,200.30	Professional		$3,173.92	$3,531.76	$4,200.30