Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.88 / $689.00 / $5,449.00	Facility		$151.88	$689.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $235.06 / $421.67	Professional		$151.88	$235.06	$421.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.96 / $356.98 / $595.38	Professional		$192.96	$356.98	$595.38
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 $179.15 / $283.11 / $520.38	Professional		$179.15	$283.11	$520.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $243.45 / $402.92	Facility		$151.97	$243.45	$402.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.32 / $304.00 / $334.00	Professional		$275.32	$304.00	$334.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $345.90 / $662.70	Professional		$3.00	$345.90	$662.70
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 $199.89 / $286.14 / $636.36	Professional		$199.89	$286.14	$636.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $811.63 / $811.63	Facility		$55.00	$811.63	$811.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,153.04 / $1,864.00 / $2,217.90	Professional		$1,153.04	$1,864.00	$2,217.90