Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.57 / $242.91 / $1,615.00	Facility		$137.57	$242.91	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.57 / $242.91 / $390.78	Professional		$137.57	$242.91	$390.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.91 / $338.99 / $600.27	Professional		$179.91	$338.99	$600.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.62 / $244.62 / $606.10	Facility		$244.62	$244.62	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.11 / $276.04 / $536.04	Professional		$160.11	$276.04	$536.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.57 / $242.91 / $397.94	Facility		$137.57	$242.91	$397.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $278.57 / $317.00 / $351.00	Professional		$278.57	$317.00	$351.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $364.50 / $692.50	Professional		$3.00	$364.50	$692.50
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 $189.22 / $283.05 / $550.79	Professional		$189.22	$283.05	$550.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $740.10 / $740.10	Facility		$55.00	$740.10	$740.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,051.07 / $1,953.92 / $2,327.03	Professional		$1,051.07	$1,953.92	$2,327.03