Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.30 / $1,052.68 / $5,449.00	Facility		$170.30	$1,052.68	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $248.90 / $423.63	Professional		$148.13	$248.90	$423.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.66 / $399.69 / $634.91	Professional		$206.66	$399.69	$634.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,215.60	Facility		$395.75	$395.75	$1,215.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.22 / $288.05 / $557.87	Professional		$175.22	$288.05	$557.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.88 / $261.72 / $428.70	Facility		$151.88	$261.72	$428.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $306.92 / $325.00 / $340.00	Professional		$306.92	$325.00	$340.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $350.70 / $717.10	Professional		$5.00	$350.70	$717.10
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,733.00 / $6,543.00	Facility		$900.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.81 / $297.74 / $599.42	Professional		$207.81	$297.74	$599.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,072.20 / $1,072.20	Facility		$55.00	$1,072.20	$1,072.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,132.40 / $1,903.04 / $2,229.98	Professional		$1,132.40	$1,903.04	$2,229.98