Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.26 / $558.78 / $5,449.00	Facility		$223.26	$558.78	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.26 / $453.44 / $726.14	Professional		$223.26	$453.44	$726.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $514.47 / $967.61	Professional		$273.00	$514.47	$967.61
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 $245.27 / $524.16 / $938.99	Professional		$245.27	$524.16	$938.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.26 / $493.22 / $750.04	Facility		$223.26	$493.22	$750.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $485.00 / $612.00	Professional		$378.00	$485.00	$612.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $334.04 / $634.50 / $828.42	Professional		$334.04	$634.50	$828.42
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 $367.34 / $577.41 / $1,063.70	Professional		$367.34	$577.41	$1,063.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,093.64 / $1,190.83 / $12,000.00	Facility		$1,093.64	$1,190.83	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,857.66 / $3,403.92 / $4,079.18	Professional		$1,857.66	$3,403.92	$4,079.18