Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.90 / $405.50 / $5,449.00	Facility		$86.90	$405.50	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $255.18 / $349.36	Professional		$86.90	$255.18	$349.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.87 / $449.44 / $694.17	Professional		$149.87	$449.44	$694.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $327.44 / $573.21	Professional		$112.22	$327.44	$573.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.90 / $257.49 / $433.81	Facility		$86.90	$257.49	$433.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $366.73 / $366.73 / $366.73	Professional		$366.73	$366.73	$366.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $153.63 / $422.64	Professional		$122.66	$153.63	$422.64
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 $261.42 / $409.86 / $692.19	Professional		$261.42	$409.86	$692.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $462.65 / $462.65	Facility		$55.00	$462.65	$462.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $939.44 / $1,743.44 / $2,073.38	Professional		$939.44	$1,743.44	$2,073.38