Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.28 / $347.17 / $5,449.00	Facility		$82.28	$347.17	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $222.29 / $347.17	Professional		$82.28	$222.29	$347.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.50 / $414.15 / $702.80	Facility		$376.50	$414.15	$702.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.69 / $235.39 / $613.58	Professional		$107.69	$235.39	$613.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $530.00 / $948.75	Facility		$323.44	$530.00	$948.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $241.65 / $584.00	Professional		$100.67	$241.65	$584.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.28 / $243.95 / $407.89	Facility		$82.28	$243.95	$407.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $324.64 / $399.00 / $474.00	Professional		$324.64	$399.00	$474.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.21 / $174.80 / $651.50	Professional		$118.21	$174.80	$651.50
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 $195.28 / $285.49 / $758.15	Professional		$195.28	$285.49	$758.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $478.30 / $478.30 / $12,000.00	Facility		$478.30	$478.30	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,081.56 / $2,015.76 / $2,412.98	Professional		$1,081.56	$2,015.76	$2,412.98