Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.83 / $614.19 / $4,311.00	Facility		$384.83	$614.19	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $407.41 / $576.91	Professional		$274.64	$407.41	$576.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.54 / $207.39 / $351.93	Facility		$188.54	$207.39	$351.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.87 / $634.47 / $995.10	Professional		$386.87	$634.47	$995.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.29 / $395.75 / $529.24	Facility		$317.29	$395.75	$529.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.37 / $510.28 / $916.15	Professional		$326.37	$510.28	$916.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $417.70 / $689.34	Facility		$274.64	$417.70	$689.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $311.82 / $399.00 / $518.00	Professional		$311.82	$399.00	$518.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $330.50 / $396.90 / $921.30	Professional		$330.50	$396.90	$921.30
United Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $120.00 / $1,251.00	Facility		$54.00	$120.00	$1,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.90 / $462.27 / $992.84	Professional		$337.90	$462.27	$992.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,992.72 / $1,992.72 / $12,000.00	Facility		$1,992.72	$1,992.72	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,108.00 / $3,071.92 / $3,573.68	Professional		$2,108.00	$3,071.92	$3,573.68