Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.08 / $295.63 / $5,449.00	Facility		$180.08	$295.63	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.08 / $210.59 / $370.74	Professional		$180.08	$210.59	$370.74
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 $114.59 / $311.60 / $536.89	Professional		$114.59	$311.60	$536.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $606.10	Facility		$221.28	$221.28	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.92 / $287.44 / $501.92	Professional		$209.92	$287.44	$501.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $180.08 / $252.71 / $395.50	Facility		$180.08	$252.71	$395.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $250.46 / $276.00 / $293.00	Professional		$250.46	$276.00	$293.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $246.89 / $296.60 / $397.80	Professional		$246.89	$296.60	$397.80
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 $179.65 / $247.97 / $519.75	Professional		$179.65	$247.97	$519.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,003.30 / $1,003.30	Facility		$55.00	$1,003.30	$1,003.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,403.60 / $1,644.56 / $1,920.23	Professional		$1,403.60	$1,644.56	$1,920.23