Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.41 / $613.85 / $6,953.60	Facility		$122.41	$613.85	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.41 / $138.77 / $201.01	Professional		$121.41	$138.77	$201.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.11 / $207.11 / $214.01	Facility		$207.11	$207.11	$214.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $224.22 / $316.20	Professional		$161.19	$224.22	$316.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $338.41 / $459.33	Facility		$142.06	$338.41	$459.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.03 / $195.18 / $346.76	Professional		$136.03	$195.18	$346.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.41 / $165.65 / $251.34	Facility		$122.41	$165.65	$251.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.21 / $163.00 / $273.93	Professional		$160.21	$163.00	$273.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.80 / $212.70 / $246.70	Professional		$170.80	$212.70	$246.70
United Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $724.00 / $1,928.00	Facility		$82.00	$724.00	$1,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $149.05 / $310.52	Professional		$108.90	$149.05	$310.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $299.14 / $1,344.10	Facility		$55.00	$299.14	$1,344.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,705.59 / $1,743.04 / $1,743.04	Professional		$1,705.59	$1,743.04	$1,743.04