Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.08 / $1,245.00 / $6,953.60	Facility		$114.08	$1,245.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.18 / $116.28 / $207.05	Professional		$110.18	$116.28	$207.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,768.40 / $1,945.23 / $3,301.00	Facility		$1,768.40	$1,945.23	$3,301.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $207.92 / $326.75	Professional		$53.22	$207.92	$326.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $4,359.60 / $8,224.37	Facility		$323.44	$4,359.60	$8,224.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $175.42 / $310.92	Professional		$113.25	$175.42	$310.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.08 / $136.54 / $222.92	Facility		$114.08	$136.54	$222.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $399.00 / $1,302.26	Professional		$160.00	$399.00	$1,302.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $167.65 / $278.70	Professional		$105.80	$167.65	$278.70
United Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $3,347.00 / $11,964.00	Facility		$902.00	$3,347.00	$11,964.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $134.79 / $286.30	Professional		$100.92	$134.79	$286.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $548.90 / $12,000.00 / $24,066.40	Facility		$548.90	$12,000.00	$24,066.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $828.80 / $828.80 / $1,017.08	Professional		$828.80	$828.80	$1,017.08