Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.31 / $1,245.00 / $4,951.00	Facility		$165.31	$1,245.00	$4,951.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.43 / $253.59 / $387.33	Professional		$153.43	$253.59	$387.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.31 / $341.10 / $651.37	Professional		$200.31	$341.10	$651.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.24 / $1,359.55 / $2,702.90	Facility		$453.24	$1,359.55	$2,702.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.72 / $295.89 / $632.30	Professional		$176.72	$295.89	$632.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $155.87 / $299.50 / $433.81	Facility		$155.87	$299.50	$433.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $394.00 / $534.00 / $706.31	Professional		$394.00	$534.00	$706.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.60 / $233.20 / $671.80	Professional		$199.60	$233.20	$671.80
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $650.00 / $4,824.00	Facility		$393.00	$650.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.53 / $304.67 / $771.70	Professional		$220.53	$304.67	$771.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,135.56 / $1,135.56 / $16,394.00	Facility		$1,135.56	$1,135.56	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,259.00 / $2,202.16 / $2,589.30	Professional		$1,259.00	$2,202.16	$2,589.30