Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.99 / $218.72 / $5,449.00	Facility		$36.99	$218.72	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $111.81 / $218.90	Professional		$36.99	$111.81	$218.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.19 / $211.55 / $357.31	Professional		$89.19	$211.55	$357.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $155.97 / $277.05	Professional		$64.98	$155.97	$277.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $142.44 / $270.51	Facility		$40.69	$142.44	$270.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $176.58 / $176.58 / $176.58	Professional		$176.58	$176.58	$176.58
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $264.87 / $264.87 / $264.87	Professional	50	$264.87	$264.87	$264.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.52 / $127.63 / $197.90	Professional		$45.52	$127.63	$197.90
United Facility/Professional Facility Modifier Low / Median / High Price $304.22 / $874.00 / $2,229.00	Facility		$304.22	$874.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.88 / $188.18 / $443.82	Professional		$111.88	$188.18	$443.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $183.80 / $183.80	Facility		$55.00	$183.80	$183.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $442.40 / $851.67 / $979.35	Professional		$442.40	$851.67	$979.35