Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.68 / $279.02 / $1,615.00	Facility		$173.68	$279.02	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.68 / $279.02 / $450.39	Professional		$173.68	$279.02	$450.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.28 / $198.28 / $201.18	Facility		$198.28	$198.28	$201.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.62 / $375.81 / $695.33	Professional		$213.62	$375.81	$695.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.62 / $244.62 / $606.10	Facility		$244.62	$244.62	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $313.60 / $585.04	Professional		$194.10	$313.60	$585.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.68 / $284.02 / $452.08	Facility		$173.68	$284.02	$452.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $331.00 / $397.00	Professional		$284.02	$331.00	$397.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $411.20 / $759.80	Professional		$3.00	$411.20	$759.80
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 $235.53 / $314.87 / $686.65	Professional		$235.53	$314.87	$686.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $917.65 / $917.65	Facility		$55.00	$917.65	$917.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,608.00 / $2,215.76 / $2,636.70	Professional		$1,608.00	$2,215.76	$2,636.70