Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.24 / $809.20 / $5,449.00	Facility		$118.24	$809.20	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $172.43 / $252.13	Professional		$104.42	$172.43	$252.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $172.40 / $358.30	Professional		$115.33	$172.40	$358.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $186.43 / $397.79	Professional		$111.66	$186.43	$397.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.24 / $193.07 / $277.25	Facility		$118.24	$193.07	$277.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $217.73 / $217.73 / $217.73	Professional		$217.73	$217.73	$217.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.78 / $179.15 / $308.02	Professional		$102.78	$179.15	$308.02
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.78 / $187.56 / $448.76	Professional		$148.78	$187.56	$448.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $622.63 / $622.63 / $11,500.00	Facility		$622.63	$622.63	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $889.52 / $1,419.20 / $1,656.75	Professional		$889.52	$1,419.20	$1,656.75