Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.10 / $250.48 / $5,449.00	Facility		$101.10	$250.48	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $147.02 / $208.73	Professional		$101.10	$147.02	$208.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.02 / $410.42 / $507.39	Facility		$342.02	$410.42	$507.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.43 / $292.12 / $432.76	Professional		$177.43	$292.12	$432.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.81 / $213.72 / $347.01	Professional		$136.81	$213.72	$347.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.49 / $211.00 / $325.31	Facility		$105.49	$211.00	$325.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $214.19 / $214.19 / $214.19	Professional		$214.19	$214.19	$214.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $256.80 / $256.80 / $256.80	Professional		$256.80	$256.80	$256.80
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 $154.72 / $231.63 / $411.03	Professional		$154.72	$231.63	$411.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $812.35 / $812.35	Facility		$55.00	$812.35	$812.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $739.20 / $1,126.71 / $1,290.45	Professional		$739.20	$1,126.71	$1,290.45