Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $323.59 / $4,265.80	Facility		$158.49	$323.59	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $426.58	Professional		$134.90	$173.78	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $426.58	Professional		$154.88	$218.78	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $363.08	Professional		$151.36	$208.93	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $380.19	Professional		$213.80	$213.80	$380.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $190.55 / $295.12	Facility		$138.04	$190.55	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $346.74	Professional		$229.09	$263.03	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $724.44 / $1,949.84	Facility		$181.97	$724.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $309.03	Professional		$125.89	$162.18	$309.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,819.70 / $1,819.70	Facility		$56.23	$1,819.70	$1,819.70
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	54	$630.96	$630.96	$630.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,445.44	Professional		$1,230.27	$1,230.27	$1,445.44