Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.66 / $146.41 / $1,615.00	Facility		$69.66	$146.41	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $115.37 / $227.41	Professional		$63.74	$115.37	$227.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $121.79 / $271.14	Professional		$77.75	$121.79	$271.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $136.36 / $280.45	Professional		$84.82	$136.36	$280.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.66 / $146.41 / $205.32	Facility		$69.66	$146.41	$205.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.72 / $151.72 / $151.72	Professional		$151.72	$151.72	$151.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $113.14 / $223.31	Professional		$57.68	$113.14	$223.31
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 $102.51 / $144.69 / $334.70	Professional		$102.51	$144.69	$334.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $333.74 / $333.74	Facility		$55.00	$333.74	$333.74
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $540.60 / $1,040.72 / $1,196.03	Professional		$540.60	$1,040.72	$1,196.03