Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $831.76 / $6,456.54	Facility		$173.78	$831.76	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $407.38 / $954.99	Professional		$114.82	$407.38	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $933.25	Professional		$162.18	$288.40	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $616.60 / $1,023.29	Facility		$323.59	$616.60	$1,023.29
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	52	$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $1,000.00	Professional		$147.91	$263.03	$1,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $245.47 / $776.25	Facility		$114.82	$245.47	$776.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $1,096.48	Professional		$165.96	$323.59	$1,096.48
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 $114.82 / $208.93 / $691.83	Professional		$114.82	$208.93	$691.83
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 Facility Modifier 52 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	52	$2,884.03	$2,884.03	$2,884.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,981.07	Professional		$3,388.44	$3,388.44	$3,981.07