Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.73 / $277.49 / $1,615.00	Facility		$165.73	$277.49	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.73 / $277.49 / $423.37	Professional		$165.73	$277.49	$423.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.83 / $86.83 / $88.10	Facility		$86.83	$86.83	$88.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.28 / $323.86 / $567.99	Professional		$199.28	$323.86	$567.99
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 $182.25 / $293.10 / $549.57	Professional		$182.25	$293.10	$549.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.73 / $275.02 / $426.46	Facility		$165.73	$275.02	$426.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.02 / $280.00 / $399.00	Professional		$275.02	$280.00	$399.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $413.90 / $612.70	Professional		$3.00	$413.90	$612.70
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 $218.38 / $317.57 / $681.95	Professional		$218.38	$317.57	$681.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $888.77 / $888.77	Facility		$55.00	$888.77	$888.77
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,262.24 / $2,223.67 / $2,650.35	Professional		$1,262.24	$2,223.67	$2,650.35