Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.09 / $276.24 / $5,449.00	Facility		$171.09	$276.24	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.09 / $190.36 / $340.62	Professional		$171.09	$190.36	$340.62
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 $187.08 / $296.63 / $512.02	Professional		$187.08	$296.63	$512.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.64 / $207.64 / $606.10	Facility		$207.64	$207.64	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.01 / $273.94 / $483.43	Professional		$201.01	$273.94	$483.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.09 / $238.20 / $380.06	Facility		$171.09	$238.20	$380.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $238.20 / $241.00 / $262.00	Professional		$238.20	$241.00	$262.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $267.00 / $286.57 / $356.76	Professional		$267.00	$286.57	$356.76
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 $166.85 / $226.31 / $513.66	Professional		$166.85	$226.31	$513.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $941.78 / $941.78	Facility		$55.00	$941.78	$941.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,333.60 / $1,479.12 / $1,688.03	Professional		$1,333.60	$1,479.12	$1,688.03