Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.49 / $268.69 / $5,449.00	Facility		$103.49	$268.69	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.49 / $206.46 / $281.29	Professional		$103.49	$206.46	$281.29
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 $148.57 / $270.68 / $542.91	Professional		$148.57	$270.68	$542.91
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 $110.54 / $219.86 / $482.39	Professional		$110.54	$219.86	$482.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.49 / $214.77 / $349.81	Facility		$103.49	$214.77	$349.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.00 / $399.00 / $474.00	Professional		$309.00	$399.00	$474.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.90 / $238.70 / $495.10	Professional		$152.90	$238.70	$495.10
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 $181.26 / $235.41 / $493.98	Professional		$181.26	$235.41	$493.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $599.40 / $599.40 / $12,000.00	Facility		$599.40	$599.40	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $902.00 / $1,597.44 / $1,922.85	Professional		$902.00	$1,597.44	$1,922.85