Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.79 / $560.23 / $4,311.00	Facility		$317.79	$560.23	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.81 / $390.37 / $571.77	Professional		$290.81	$390.37	$571.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.95 / $708.16 / $1,093.01	Professional		$420.95	$708.16	$1,093.01
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 $364.66 / $532.54 / $985.06	Professional		$364.66	$532.54	$985.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $290.81 / $429.41 / $710.26	Facility		$290.81	$429.41	$710.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $311.82 / $399.00 / $558.00	Professional		$311.82	$399.00	$558.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $325.60 / $374.20 / $1,030.20	Professional		$325.60	$374.20	$1,030.20
United Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $124.00 / $1,251.00	Facility		$54.00	$124.00	$1,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.79 / $470.77 / $978.27	Professional		$350.79	$470.77	$978.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,093.16 / $2,093.16 / $12,000.00	Facility		$2,093.16	$2,093.16	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,221.36 / $2,927.52 / $3,371.93	Professional		$2,221.36	$2,927.52	$3,371.93