Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.90 / $1,615.00 / $7,362.00	Facility		$78.90	$1,615.00	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $80.33 / $99.03	Professional		$74.31	$80.33	$99.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $102.58 / $249.62	Professional		$73.27	$102.58	$249.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $89.85 / $89.85	Facility		$89.85	$89.85	$89.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.77 / $375.77 / $375.77	Professional		$375.77	$375.77	$375.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $77.00 / $96.19	Facility		$66.31	$77.00	$96.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $111.00 / $111.00	Professional		$77.00	$111.00	$111.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $110.10 / $110.10	Professional		$110.10	$110.10	$110.10
United Facility/Professional Facility Modifier Low / Median / High Price $122.77 / $122.77 / $122.77	Facility		$122.77	$122.77	$122.77
United Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $98.66 / $193.68	Professional		$77.20	$98.66	$193.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $131.19 / $417.19 / $417.19	Facility		$131.19	$417.19	$417.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $515.54 / $673.58 / $673.58	Professional		$515.54	$673.58	$673.58