Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.06 / $1,245.00 / $8,413.00	Facility		$191.06	$1,245.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.06 / $196.28 / $353.44	Professional		$191.06	$196.28	$353.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,787.52 / $2,787.52 / $2,828.19	Facility		$2,787.52	$2,787.52	$2,828.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.98 / $328.51 / $523.26	Professional		$199.98	$328.51	$523.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.08 / $284.35 / $469.09	Professional		$223.08	$284.35	$469.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $191.06 / $250.49 / $406.41	Facility		$191.06	$250.49	$406.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $222.00 / $606.00	Professional		$222.00	$222.00	$606.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $247.80 / $247.80 / $480.50	Professional		$247.80	$247.80	$480.50
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.31 / $262.33 / $520.86	Professional		$171.31	$262.33	$520.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $432.52 / $2,533.00 / $26,542.00	Facility		$432.52	$2,533.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,385.27 / $1,385.27 / $1,651.43	Professional		$1,385.27	$1,385.27	$1,651.43