Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.98 / $368.36 / $5,449.00	Facility		$181.98	$368.36	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.98 / $248.95 / $368.36	Professional		$181.98	$248.95	$368.36
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 $243.36 / $414.44 / $617.67	Professional		$243.36	$414.44	$617.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.00 / $384.00 / $529.24	Facility		$317.00	$384.00	$529.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.11 / $314.10 / $555.49	Professional		$210.11	$314.10	$555.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.98 / $268.77 / $427.30	Facility		$181.98	$268.77	$427.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.20 / $396.00 / $450.00	Professional		$295.20	$396.00	$450.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $286.10 / $564.10	Professional		$238.10	$286.10	$564.10
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 $208.17 / $276.87 / $602.79	Professional		$208.17	$276.87	$602.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,296.66 / $1,296.66 / $12,000.00	Facility		$1,296.66	$1,296.66	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,368.48 / $1,826.56 / $2,138.17	Professional		$1,368.48	$1,826.56	$2,138.17