Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.29 / $144.90 / $903.34	Facility		$48.29	$144.90	$903.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $54.46 / $136.69	Professional		$21.97	$54.46	$136.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $65.84 / $119.78	Professional		$30.38	$65.84	$119.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $58.72 / $123.65	Professional		$29.00	$58.72	$123.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $70.17 / $96.50	Facility		$21.97	$70.17	$96.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $70.17 / $70.17	Professional		$70.17	$70.17	$70.17
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $105.26 / $105.26 / $105.26	Professional	50	$105.26	$105.26	$105.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $39.51 / $128.22	Professional		$19.09	$39.51	$128.22
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $64.73 / $152.72	Professional		$48.56	$64.73	$152.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $149.38 / $149.38	Facility		$55.00	$149.38	$149.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $303.35 / $587.76 / $682.73	Professional		$303.35	$587.76	$682.73