Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.97 / $628.24 / $5,449.00	Facility		$238.97	$628.24	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.97 / $435.83 / $676.23	Professional		$238.97	$435.83	$676.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.45 / $574.27 / $1,077.99	Professional		$333.45	$574.27	$1,077.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $820.28	Facility		$395.75	$395.75	$820.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.42 / $511.07 / $920.41	Professional		$277.42	$511.07	$920.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $238.97 / $498.88 / $749.00	Facility		$238.97	$498.88	$749.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $518.00 / $555.00	Professional		$378.00	$518.00	$555.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $567.60 / $1,179.00	Professional		$4.00	$567.60	$1,179.00
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.62 / $582.25 / $1,055.82	Professional		$364.62	$582.25	$1,055.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,398.20 / $1,398.20 / $12,000.00	Facility		$1,398.20	$1,398.20	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,789.68 / $3,607.88 / $3,679.82	Professional		$1,789.68	$3,607.88	$3,679.82