Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $630.96 / $1,348.96	Facility		$251.19	$630.96	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $346.74	Professional		$194.98	$223.87	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,071.52 / $1,071.52	Facility		$588.84	$1,071.52	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $316.23 / $426.58	Professional		$117.49	$316.23	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $416.87 / $691.83	Facility		$177.83	$416.87	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $389.05	Professional		$120.23	$194.98	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $251.19 / $436.52	Facility		$208.93	$251.19	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $275.42	Professional		$263.03	$263.03	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $338.84 / $436.52	Facility		$213.80	$338.84	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $371.54	Professional		$109.65	$177.83	$371.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,949.84	Professional		$1,318.26	$1,318.26	$1,949.84