Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.36 / $372.40 / $5,449.00	Facility		$192.36	$372.40	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.86 / $243.86 / $386.37	Professional		$181.86	$243.86	$386.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.06 / $233.26 / $395.84	Facility		$212.06	$233.26	$395.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.80 / $342.01 / $603.03	Professional		$209.80	$342.01	$603.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.93 / $359.78 / $475.26	Facility		$284.93	$359.78	$475.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.49 / $322.12 / $634.33	Professional		$172.49	$322.12	$634.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $275.12 / $438.07	Facility		$153.00	$275.12	$438.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $230.12 / $316.00 / $740.71	Professional		$230.12	$316.00	$740.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $152.10 / $679.30	Professional		$131.19	$152.10	$679.30
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $661.00 / $4,824.00	Facility		$393.00	$661.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.09 / $301.52 / $704.55	Professional		$194.09	$301.52	$704.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,333.68 / $1,333.68	Facility		$55.00	$1,333.68	$1,333.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,401.04 / $2,174.08 / $2,550.60	Professional		$1,401.04	$2,174.08	$2,550.60