Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.63 / $587.00 / $1,350.00	Facility		$208.63	$587.00	$1,350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.43 / $208.63 / $307.14	Professional		$173.43	$208.63	$307.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $544.07 / $974.18 / $1,047.51	Facility		$544.07	$974.18	$1,047.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $319.54 / $457.02	Professional		$117.36	$319.54	$457.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.16 / $363.22 / $685.01	Facility		$198.16	$363.22	$685.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $240.99 / $379.76	Professional		$120.94	$240.99	$379.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.63 / $355.78 / $432.91	Facility		$208.63	$355.78	$432.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $355.78	Professional		$145.00	$145.00	$355.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.51 / $260.79 / $499.41	Professional		$169.51	$260.79	$499.41
United Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $177.89 / $355.78	Professional		$130.40	$177.89	$355.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $453.77 / $1,238.75 / $1,238.75	Facility		$453.77	$1,238.75	$1,238.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $1,955.93	Professional		$1,303.95	$1,303.95	$1,955.93