Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.23 / $502.56 / $7,362.00	Facility		$317.23	$502.56	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.80 / $332.67 / $615.66	Professional		$297.80	$332.67	$615.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,457.61 / $1,457.61 / $1,478.88	Facility		$1,457.61	$1,457.61	$1,478.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.83 / $519.79 / $878.99	Professional		$292.83	$519.79	$878.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,587.44	Facility		$395.75	$395.75	$1,587.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.77 / $460.15 / $797.82	Professional		$357.77	$460.15	$797.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $317.23 / $450.99 / $704.00	Facility		$317.23	$450.99	$704.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $81.36 / $103.20 / $149.72	Facility	80	$81.36	$103.20	$149.72
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $56.95 / $72.23 / $104.81	Facility	AS	$56.95	$72.23	$104.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $399.00 / $425.00	Professional		$378.00	$399.00	$425.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.36 / $456.31 / $514.87	Professional		$292.36	$456.31	$514.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.48 / $421.60 / $785.99	Professional		$276.48	$421.60	$785.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,215.96 / $5,246.20 / $12,000.00	Facility		$1,215.96	$5,246.20	$12,000.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $76.02 / $298.95 / $497.27	Facility	AS	$76.02	$298.95	$497.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,232.86 / $3,232.86 / $3,232.86	Professional		$3,232.86	$3,232.86	$3,232.86