Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.15 / $369.66 / $5,449.00	Facility		$93.15	$369.66	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $254.20 / $414.71	Professional		$93.15	$254.20	$414.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,451.28 / $1,596.41 / $2,709.06	Facility		$1,451.28	$1,596.41	$2,709.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $377.52 / $729.23	Professional		$138.97	$377.52	$729.23
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 $123.60 / $277.60 / $675.13	Professional		$123.60	$277.60	$675.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.15 / $289.31 / $476.08	Facility		$93.15	$289.31	$476.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $324.64 / $400.00 / $941.89	Professional		$324.64	$400.00	$941.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $245.60 / $748.80	Professional		$133.13	$245.60	$748.80
United Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $2,353.00 / $9,194.00	Facility		$795.00	$2,353.00	$9,194.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.68 / $337.26 / $738.86	Professional		$230.68	$337.26	$738.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $539.79 / $539.79 / $12,000.00	Facility		$539.79	$539.79	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,230.77 / $2,293.28 / $2,744.93	Professional		$1,230.77	$2,293.28	$2,744.93