Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.80 / $542.45 / $5,449.00	Facility		$352.80	$542.45	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.86 / $384.40 / $691.92	Professional		$354.86	$384.40	$691.92
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 $367.93 / $570.71 / $986.72	Professional		$367.93	$570.71	$986.72
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 $370.89 / $498.00 / $924.82	Professional		$370.89	$498.00	$924.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $354.86 / $457.87 / $697.88	Facility		$354.86	$457.87	$697.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $466.00 / $523.00	Professional		$378.00	$466.00	$523.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $606.69 / $731.77	Professional		$537.70	$606.69	$731.77
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 $320.29 / $451.31 / $1,022.79	Professional		$320.29	$451.31	$1,022.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $960.07 / $1,926.98 / $12,000.00	Facility		$960.07	$1,926.98	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,696.32 / $2,918.16 / $3,472.88	Professional		$2,696.32	$2,918.16	$3,472.88