Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.69 / $247.60 / $7,439.00	Facility		$156.69	$247.60	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $156.69 / $271.95	Professional		$156.69	$156.69	$271.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.67 / $287.99 / $450.56	Professional		$220.67	$287.99	$450.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $274.58 / $455.30	Professional		$202.44	$274.58	$455.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $156.69 / $227.02 / $383.66	Facility		$156.69	$227.02	$383.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $228.82 / $228.82 / $228.82	Professional		$228.82	$228.82	$228.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.77 / $241.10 / $272.69	Professional		$218.77	$241.10	$272.69
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.58 / $246.16 / $895.56	Professional		$160.58	$246.16	$895.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $376.55 / $2,170.17	Facility		$55.00	$376.55	$2,170.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,622.00 / $2,622.00 / $2,622.00	Professional		$2,622.00	$2,622.00	$2,622.00