Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.50 / $489.31 / $5,449.00	Facility		$297.50	$489.31	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.50 / $333.47 / $607.40	Professional		$297.50	$333.47	$607.40
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 $215.28 / $448.98 / $805.30	Professional		$215.28	$448.98	$805.30
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 $286.64 / $422.86 / $799.97	Professional		$286.64	$422.86	$799.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $297.50 / $372.13 / $585.71	Facility		$297.50	$372.13	$585.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.52 / $406.00 / $459.00	Professional		$338.52	$406.00	$459.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $443.72 / $497.07 / $621.88	Professional		$443.72	$497.07	$621.88
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 $264.87 / $369.83 / $880.24	Professional		$264.87	$369.83	$880.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,459.52 / $1,654.52 / $12,000.00	Facility		$1,459.52	$1,654.52	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,290.48 / $2,562.48 / $3,049.88	Professional		$2,290.48	$2,562.48	$3,049.88