Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.58 / $614.00 / $42,792.11	Facility		$199.58	$614.00	$42,792.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.58 / $227.28 / $274.79	Professional		$199.58	$227.28	$274.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.53 / $408.79 / $462.78	Facility		$233.53	$408.79	$462.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.91 / $289.41 / $408.79	Professional		$276.91	$289.41	$408.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.41 / $227.28 / $268.91	Facility		$214.41	$227.28	$268.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $291.48	Professional		$227.28	$227.28	$291.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.07 / $199.58 / $315.89	Facility		$136.07	$199.58	$315.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.07 / $274.89 / $325.00	Professional		$136.07	$274.89	$325.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $353.90 / $373.73 / $435.24	Professional		$353.90	$373.73	$435.24
United Facility/Professional Facility Modifier Low / Median / High Price $270.49 / $270.49 / $365.82	Facility		$270.49	$270.49	$365.82
United Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $240.92 / $272.74	Professional		$227.28	$240.92	$272.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $302.33 / $1,136.40 / $1,136.40	Facility		$302.33	$1,136.40	$1,136.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,490.31 / $9,490.31 / $9,490.31	Professional		$9,490.31	$9,490.31	$9,490.31