Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.71 / $305.45 / $4,951.00	Facility		$175.71	$305.45	$4,951.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.71 / $287.64 / $388.35	Professional		$175.71	$287.64	$388.35
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 $224.94 / $400.75 / $745.29	Professional		$224.94	$400.75	$745.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.25 / $240.60 / $530.04	Facility		$144.25	$240.60	$530.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.11 / $332.93 / $657.25	Professional		$194.11	$332.93	$657.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.71 / $291.20 / $453.28	Facility		$175.71	$291.20	$453.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $530.00 / $635.00	Professional		$143.75	$530.00	$635.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $225.50 / $267.39 / $693.30	Professional		$225.50	$267.39	$693.30
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 $216.01 / $330.28 / $736.49	Professional		$216.01	$330.28	$736.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,259.52 / $1,259.52 / $16,394.00	Facility		$1,259.52	$1,259.52	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,319.20 / $2,209.12 / $2,633.25	Professional		$1,319.20	$2,209.12	$2,633.25