Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $263.33 / $5,449.00	Facility		$102.48	$263.33	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $203.40 / $282.45	Professional		$102.48	$203.40	$282.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.52 / $309.20 / $526.25	Professional		$148.52	$309.20	$526.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $1,362.98 / $2,709.73	Facility		$323.44	$1,362.98	$2,709.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $222.84 / $474.05	Professional		$117.66	$222.84	$474.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $223.55 / $342.40	Facility		$102.48	$223.55	$342.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $399.00 / $941.89	Professional		$302.00	$399.00	$941.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.79 / $259.60 / $512.70	Professional		$151.79	$259.60	$512.70
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $1,208.00 / $9,324.00	Facility		$773.00	$1,208.00	$9,324.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $241.89 / $507.91	Professional		$174.74	$241.89	$507.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $595.50 / $595.50 / $12,000.00	Facility		$595.50	$595.50	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $902.00 / $1,561.20 / $1,880.93	Professional		$902.00	$1,561.20	$1,880.93