Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.78 / $873.60 / $1,611.16	Facility		$186.78	$873.60	$1,611.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.09 / $270.19 / $270.19	Professional		$164.09	$270.19	$270.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.06 / $349.27 / $663.16	Facility		$291.06	$349.27	$663.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.73 / $272.26 / $290.41	Professional		$252.73	$272.26	$290.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $274.27	Facility		$274.27	$274.27	$274.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $274.27 / $475.50	Professional		$233.13	$274.27	$475.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.40 / $270.19 / $408.83	Facility		$99.40	$270.19	$408.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $203.00 / $255.00	Professional		$203.00	$203.00	$255.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $482.70 / $482.70 / $742.20	Professional		$482.70	$482.70	$742.20
United Facility/Professional Professional Modifier Low / Median / High Price $139.15 / $181.11 / $262.61	Professional		$139.15	$181.11	$262.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $689.22 / $1,683.64 / $1,683.64	Facility		$689.22	$1,683.64	$1,683.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,930.99 / $1,930.99 / $3,017.18	Professional		$1,930.99	$1,930.99	$3,017.18