Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.39 / $2,640.02 / $5,177.00	Facility		$242.39	$2,640.02	$5,177.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.35 / $179.04 / $437.87	Professional		$153.35	$179.04	$437.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.56 / $343.20 / $506.86	Professional		$210.56	$343.20	$506.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.73 / $276.20 / $473.91	Professional		$195.73	$276.20	$473.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.35 / $233.95 / $384.25	Facility		$153.35	$233.95	$384.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $233.95 / $233.95 / $458.37	Professional		$233.95	$233.95	$458.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.92 / $220.72 / $735.86	Professional		$176.92	$220.72	$735.86
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $250.36 / $534.54	Professional		$181.08	$250.36	$534.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $769.79 / $769.79	Facility		$55.00	$769.79	$769.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,124.56 / $1,301.78 / $1,525.28	Professional		$1,124.56	$1,301.78	$1,525.28