Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.34 / $310.23 / $4,311.00	Facility		$224.34	$310.23	$4,311.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $168.26 / $181.27 / $288.54	Facility	54	$168.26	$181.27	$288.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $241.69 / $457.20	Professional		$209.50	$241.69	$457.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.83 / $363.65 / $647.01	Professional		$248.83	$363.65	$647.01
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 $246.30 / $334.27 / $603.90	Professional		$246.30	$334.27	$603.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $224.34 / $298.00 / $530.00	Facility		$224.34	$298.00	$530.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.26 / $308.00 / $400.00	Professional		$288.26	$308.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $335.56 / $370.21 / $449.87	Professional		$335.56	$370.21	$449.87
United Facility/Professional Facility Modifier Low / Median / High Price $182.66 / $874.00 / $2,074.00	Facility		$182.66	$874.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.27 / $288.02 / $594.38	Professional		$205.27	$288.02	$594.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,095.20 / $1,240.89 / $12,000.00	Facility		$1,095.20	$1,240.89	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $432.52 / $868.62 / $868.62	Facility	54	$432.52	$868.62	$868.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,726.16 / $1,857.36 / $2,181.30	Professional		$1,726.16	$1,857.36	$2,181.30