Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.83 / $449.59 / $5,449.00	Facility		$154.83	$449.59	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.83 / $318.87 / $500.43	Professional		$154.83	$318.87	$500.43
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 $213.68 / $464.91 / $769.34	Professional		$213.68	$464.91	$769.34
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 $179.04 / $381.14 / $691.95	Professional		$179.04	$381.14	$691.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.83 / $369.39 / $564.00	Facility		$154.83	$369.39	$564.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $373.00 / $373.00 / $415.00	Professional		$373.00	$373.00	$415.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.30 / $427.40 / $513.53	Professional		$214.30	$427.40	$513.53
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 $292.18 / $458.97 / $844.37	Professional		$292.18	$458.97	$844.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $917.20 / $917.20 / $12,000.00	Facility		$917.20	$917.20	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,215.49 / $2,328.56 / $2,704.20	Professional		$1,215.49	$2,328.56	$2,704.20