Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.70 / $1,350.00 / $5,449.00	Facility		$104.70	$1,350.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $106.42 / $192.40	Professional		$103.72	$106.42	$192.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $766.70 / $843.36 / $1,431.16	Facility		$766.70	$843.36	$1,431.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $182.96 / $325.86	Professional		$67.98	$182.96	$325.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $517.22 / $975.74	Facility		$323.44	$517.22	$975.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.01 / $171.45 / $287.95	Professional		$124.01	$171.45	$287.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.70 / $151.82 / $217.25	Facility		$104.70	$151.82	$217.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $148.27 / $399.00 / $554.82	Professional		$148.27	$399.00	$554.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.90 / $172.90 / $241.30	Professional		$144.90	$172.90	$241.30
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 $99.98 / $131.49 / $276.36	Professional		$99.98	$131.49	$276.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $268.86 / $2,855.25 / $12,000.00	Facility		$268.86	$2,855.25	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $866.33 / $1,175.00 / $1,175.00	Professional		$866.33	$1,175.00	$1,175.00