Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.04 / $263.83 / $5,449.00	Facility		$92.04	$263.83	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $190.21 / $391.72	Professional		$92.04	$190.21	$391.72
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 $129.03 / $301.31 / $484.88	Professional		$129.03	$301.31	$484.88
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 $105.59 / $225.92 / $467.86	Professional		$105.59	$225.92	$467.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.04 / $234.85 / $351.49	Facility		$92.04	$234.85	$351.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $233.00 / $400.00	Professional		$233.00	$233.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $202.82 / $372.43	Professional		$134.43	$202.82	$372.43
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 $176.70 / $278.52 / $564.46	Professional		$176.70	$278.52	$564.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $648.96 / $648.96 / $12,000.00	Facility		$648.96	$648.96	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,489.00 / $2,489.00 / $2,489.00	Professional		$2,489.00	$2,489.00	$2,489.00