Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $141.27 / $5,449.00	Facility		$68.20	$141.27	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $88.37 / $146.10	Professional		$60.63	$88.37	$146.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.83 / $91.31 / $197.45	Professional		$68.83	$91.31	$197.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $103.51 / $202.96	Professional		$72.16	$103.51	$202.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $101.97 / $142.19	Facility		$68.20	$101.97	$142.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $115.77 / $115.77	Professional		$115.77	$115.77	$115.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $100.44 / $153.83	Professional		$62.13	$100.44	$153.83
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 $76.45 / $93.61 / $211.18	Professional		$76.45	$93.61	$211.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $362.43 / $362.43	Facility		$55.00	$362.43	$362.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $518.64 / $723.84 / $837.00	Professional		$518.64	$723.84	$837.00