Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $350.53 / $5,449.00	Facility		$139.22	$350.53	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $228.18 / $320.95	Professional		$139.22	$228.18	$320.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.67 / $203.13 / $344.71	Facility		$184.67	$203.13	$344.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $329.60 / $588.47	Professional		$182.24	$329.60	$588.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.42 / $254.36 / $395.75	Facility		$174.42	$254.36	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.66 / $287.13 / $498.63	Professional		$178.66	$287.13	$498.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $243.00 / $383.56	Facility		$139.22	$243.00	$383.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $191.34 / $285.07 / $586.91	Professional		$191.34	$285.07	$586.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $201.30 / $233.70 / $545.60	Professional		$201.30	$233.70	$545.60
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 $197.83 / $270.82 / $549.36	Professional		$197.83	$270.82	$549.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $967.68 / $967.68	Facility		$55.00	$967.68	$967.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,024.08 / $1,613.36 / $1,878.90	Professional		$1,024.08	$1,613.36	$1,878.90