Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $246.77 / $5,449.00	Facility		$86.99	$246.77	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $190.24 / $261.89	Professional		$86.99	$190.24	$261.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $668.31 / $735.14 / $1,247.51	Facility		$668.31	$735.14	$1,247.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $250.52 / $499.36	Professional		$130.85	$250.52	$499.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $650.35 / $1,226.89	Facility		$323.44	$650.35	$1,226.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.58 / $221.91 / $442.03	Professional		$120.58	$221.91	$442.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.48 / $213.00 / $333.23	Facility		$87.48	$213.00	$333.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $286.00 / $399.00 / $474.00	Professional		$286.00	$399.00	$474.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.27 / $197.20 / $460.10	Professional		$131.27	$197.20	$460.10
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 $167.14 / $238.53 / $547.26	Professional		$167.14	$238.53	$547.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $508.30 / $508.30 / $12,000.00	Facility		$508.30	$508.30	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $807.56 / $1,478.72 / $1,776.45	Professional		$807.56	$1,478.72	$1,776.45