Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $288.40 / $1,000.00	Facility		$190.55	$288.40	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $239.88 / $363.08	Professional		$66.07	$239.88	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $263.03 / $676.08	Facility		$218.78	$263.03	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $407.38	Professional		$74.13	$87.10	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $478.63 / $794.33	Facility		$194.98	$478.63	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $407.38	Professional		$87.10	$141.25	$407.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $263.03 / $436.52	Facility		$69.18	$263.03	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $316.23	Professional		$302.00	$302.00	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $107.15 / $354.81	Facility		$52.48	$107.15	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $125.89 / $208.93	Professional		$43.65	$125.89	$208.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,238.72	Professional		$1,513.56	$1,513.56	$2,238.72