Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $354.81 / $7,585.78	Facility		$141.25	$354.81	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $380.19	Professional		$85.11	$194.98	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $794.33 / $891.25	Facility		$691.83	$794.33	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $489.78	Professional		$123.03	$218.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $645.65 / $1,071.52	Facility		$323.59	$645.65	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $213.80 / $426.58	Professional		$107.15	$213.80	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $199.53 / $346.74	Facility		$89.13	$199.53	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $457.09	Professional		$125.89	$251.19	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,778.28 / $5,888.44	Facility		$398.11	$1,778.28	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $295.12	Professional		$85.11	$169.82	$295.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $19,498.45	Facility		$3,630.78	$3,630.78	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,778.28	Professional		$1,479.11	$1,479.11	$1,778.28