Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.42 / $143.72 / $5,449.00	Facility		$76.42	$143.72	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $113.99 / $223.17	Professional		$74.73	$113.99	$223.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.28 / $389.28 / $394.96	Facility		$389.28	$389.28	$394.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.39 / $164.60 / $260.45	Professional		$105.39	$164.60	$260.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.22 / $138.22 / $606.10	Facility		$138.22	$138.22	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $138.34 / $242.71	Professional		$93.06	$138.34	$242.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.42 / $128.94 / $181.61	Facility		$76.42	$128.94	$181.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $122.00 / $152.00	Professional		$122.00	$122.00	$152.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.30 / $157.30 / $268.80	Professional		$157.30	$157.30	$268.80
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.66 / $131.88 / $269.85	Professional		$92.66	$131.88	$269.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $404.80 / $404.80	Facility		$55.00	$404.80	$404.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $570.48 / $672.75 / $1,003.73	Professional		$570.48	$672.75	$1,003.73