Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.36 / $86.27 / $125.82	Facility		$52.36	$86.27	$125.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $84.81 / $185.63	Professional		$54.45	$84.81	$185.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $301.68 / $301.68 / $313.70	Professional	50	$301.68	$301.68	$313.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.13 / $145.97 / $214.00	Professional		$80.13	$145.97	$214.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.94 / $79.94 / $606.10	Facility		$79.94	$79.94	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.11 / $106.69 / $178.89	Professional		$71.11	$106.69	$178.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.93 / $103.00 / $154.00	Facility		$53.93	$103.00	$154.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $97.00 / $112.14	Professional		$97.00	$97.00	$112.14
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $168.21 / $168.21 / $168.21	Professional	50	$168.21	$168.21	$168.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.28 / $99.16 / $137.30	Professional		$77.28	$99.16	$137.30
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 $66.56 / $98.07 / $182.55	Professional		$66.56	$98.07	$182.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $276.26 / $276.26	Facility		$55.00	$276.26	$276.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $563.12 / $654.23	Professional		$450.00	$563.12	$654.23