Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.43 / $689.00 / $6,953.60	Facility		$128.43	$689.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.35 / $128.43 / $238.26	Professional		$119.35	$128.43	$238.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.77 / $265.70 / $361.88	Professional		$155.77	$265.70	$361.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $147.13	Facility		$147.13	$147.13	$147.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $226.34 / $376.53	Professional		$151.13	$226.34	$376.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.43 / $191.24 / $310.73	Facility		$128.43	$191.24	$310.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $174.00 / $196.75	Professional		$167.00	$174.00	$196.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $181.80 / $285.00	Professional		$27.40	$181.80	$285.00
United Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $874.00 / $2,074.00	Facility		$116.00	$874.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $185.62 / $358.45	Professional		$130.78	$185.62	$358.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $1,300.00	Facility		$55.00	$1,300.00	$1,300.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00