Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $489.78 / $6,918.31	Facility		$169.82	$489.78	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $354.81	Professional		$125.89	$169.82	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $436.52	Professional		$162.18	$223.87	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $380.19	Professional		$151.36	$218.78	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $416.87	Professional		$263.03	$263.03	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $199.53 / $309.03	Facility		$138.04	$199.53	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $363.08	Professional		$208.93	$269.15	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,467.37 / $6,606.93	Facility		$1,202.26	$3,467.37	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $323.59	Professional		$120.23	$173.78	$323.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $19,498.45	Facility		$4,786.30	$4,786.30	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,445.44	Professional		$1,258.93	$1,258.93	$1,445.44