Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.13 / $352.94 / $1,615.00	Facility		$197.13	$352.94	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $214.02 / $420.26	Professional		$129.88	$214.02	$420.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.01 / $325.07 / $552.13	Professional		$208.01	$325.07	$552.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $276.83 / $458.60	Professional		$161.19	$276.83	$458.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $241.84 / $453.68	Facility		$129.88	$241.84	$453.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $279.27 / $279.27 / $529.50	Professional		$279.27	$279.27	$529.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $247.10 / $573.50	Professional		$3.00	$247.10	$573.50
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.24 / $295.19 / $612.74	Professional		$203.24	$295.19	$612.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $652.60 / $652.60 / $12,000.00	Facility		$652.60	$652.60	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,118.00 / $1,600.88 / $1,879.50	Professional		$1,118.00	$1,600.88	$1,879.50