Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $354.81 / $7,585.78	Facility		$128.82	$354.81	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $245.47 / $478.63	Professional		$81.28	$245.47	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $446.68 / $501.19	Facility		$389.05	$446.68	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $229.09 / $630.96	Professional		$104.71	$229.09	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $524.81 / $831.76	Facility		$323.59	$524.81	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $223.87 / $537.03	Professional		$95.50	$223.87	$537.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $218.78 / $436.52	Facility		$83.18	$218.78	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $645.65	Professional		$117.49	$194.98	$645.65
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 $75.86 / $186.21 / $363.08	Professional		$75.86	$186.21	$363.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $19,498.45	Facility		$2,754.23	$2,754.23	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,398.83	Professional		$1,995.26	$1,995.26	$2,398.83