Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.91 / $903.00 / $5,449.00	Facility		$118.91	$903.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $157.63 / $213.95	Professional		$104.86	$157.63	$213.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $173.78 / $359.38	Professional		$116.38	$173.78	$359.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.25 / $186.61 / $401.94	Professional		$112.25	$186.61	$401.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.91 / $193.73 / $279.57	Facility		$118.91	$193.73	$279.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $221.96 / $221.96 / $221.96	Professional		$221.96	$221.96	$221.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $179.69 / $309.45	Professional		$103.42	$179.69	$309.45
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,376.00 / $4,102.00	Facility		$905.00	$2,376.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.29 / $188.98 / $430.27	Professional		$149.29	$188.98	$430.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $627.10 / $627.10 / $11,500.00	Facility		$627.10	$627.10	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $895.76 / $1,423.04 / $1,663.43	Professional		$895.76	$1,423.04	$1,663.43