Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.70 / $309.92 / $4,311.00	Facility		$239.70	$309.92	$4,311.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $224.84 / $234.48 / $363.23	Facility	54	$224.84	$234.48	$363.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.51 / $317.54 / $613.11	Professional		$275.51	$317.54	$613.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.07 / $462.58 / $800.10	Professional		$315.07	$462.58	$800.10
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 $314.73 / $430.39 / $765.72	Professional		$314.73	$430.39	$765.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $299.79 / $384.77 / $611.55	Facility		$299.79	$384.77	$611.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $364.31 / $388.00 / $424.00	Professional		$364.31	$388.00	$424.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $435.40 / $498.65 / $600.61	Professional		$435.40	$498.65	$600.61
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 $263.02 / $363.50 / $763.94	Professional		$263.02	$363.50	$763.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,459.64 / $1,642.41 / $12,000.00	Facility		$1,459.64	$1,642.41	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $572.97 / $1,149.69 / $1,149.69	Facility	54	$572.97	$1,149.69	$1,149.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,295.52 / $2,369.52 / $2,808.38	Professional		$2,295.52	$2,369.52	$2,808.38