Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.46 / $1,045.29 / $2,449.69	Facility		$165.46	$1,045.29	$2,449.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.91 / $165.46 / $332.63	Professional		$103.91	$165.46	$332.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.08 / $575.08 / $583.47	Facility		$575.08	$575.08	$583.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.15 / $279.16 / $422.16	Professional		$150.15	$279.16	$422.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $638.03	Facility		$395.75	$395.75	$638.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $215.85 / $369.25	Professional		$132.43	$215.85	$369.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.86 / $206.32 / $316.00	Facility		$110.86	$206.32	$316.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $206.32 / $213.00 / $400.00	Professional		$206.32	$213.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.20 / $218.20 / $464.90	Professional		$218.20	$218.20	$464.90
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 $147.80 / $235.76 / $415.25	Professional		$147.80	$235.76	$415.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $313.81 / $555.41 / $12,000.00	Facility		$313.81	$555.41	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $927.00 / $1,240.00 / $1,392.30	Professional		$927.00	$1,240.00	$1,392.30