Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.54 / $1,664.53 / $4,586.00	Facility		$135.54	$1,664.53	$4,586.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $198.69 / $301.36	Professional		$96.40	$198.69	$301.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $555.57 / $611.13 / $1,037.06	Facility		$555.57	$611.13	$1,037.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.02 / $332.52 / $582.61	Professional		$162.02	$332.52	$582.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.76 / $237.36 / $575.00	Facility		$162.76	$237.36	$575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.04 / $254.04 / $456.84	Professional		$122.04	$254.04	$456.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.40 / $219.58 / $293.64	Facility		$96.40	$219.58	$293.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $201.68 / $287.00 / $532.32	Professional		$201.68	$287.00	$532.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.00 / $240.50 / $452.50	Professional		$229.00	$240.50	$452.50
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 $187.59 / $255.77 / $521.15	Professional		$187.59	$255.77	$521.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $665.76 / $665.76	Facility		$55.00	$665.76	$665.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $812.01 / $1,535.44 / $1,795.50	Professional		$812.01	$1,535.44	$1,795.50