Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.10 / $313.47 / $7,278.00	Facility		$108.10	$313.47	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $228.53 / $316.70	Professional		$108.10	$228.53	$316.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.59 / $265.08 / $531.49	Professional		$162.59	$265.08	$531.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.12 / $231.42 / $489.04	Professional		$131.12	$231.42	$489.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.10 / $251.38 / $395.99	Facility		$108.10	$251.38	$395.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $249.17 / $249.17 / $249.17	Professional		$249.17	$249.17	$249.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $244.60 / $244.60 / $244.60	Professional		$244.60	$244.60	$244.60
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 $171.45 / $264.68 / $643.82	Professional		$171.45	$264.68	$643.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $855.05 / $855.05 / $16,394.00	Facility		$855.05	$855.05	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $910.21 / $1,641.12 / $1,977.30	Professional		$910.21	$1,641.12	$1,977.30