Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.04 / $270.81 / $5,449.00	Facility		$119.04	$270.81	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.12 / $201.53 / $329.03	Professional		$113.12	$201.53	$329.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,021.07 / $1,123.17 / $1,905.99	Facility		$1,021.07	$1,123.17	$1,905.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.28 / $266.66 / $497.92	Professional		$147.28	$266.66	$497.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $1,359.55 / $2,702.90	Facility		$323.44	$1,359.55	$2,702.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $230.25 / $451.41	Professional		$134.41	$230.25	$451.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.04 / $231.06 / $335.60	Facility		$119.04	$231.06	$335.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $278.00 / $399.00 / $705.80	Professional		$278.00	$399.00	$705.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $181.20 / $468.60	Professional		$155.19	$181.20	$468.60
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 $172.66 / $240.87 / $562.02	Professional		$172.66	$240.87	$562.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $850.62 / $850.62 / $12,000.00	Facility		$850.62	$850.62	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $895.60 / $1,539.84 / $1,808.63	Professional		$895.60	$1,539.84	$1,808.63