Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.04 / $224.48 / $3,367.08	Facility		$99.04	$224.48	$3,367.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.04 / $99.04 / $150.40	Professional		$99.04	$99.04	$150.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.87 / $166.36 / $325.10	Professional		$92.87	$166.36	$325.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.81 / $177.90 / $309.23	Professional		$126.81	$177.90	$309.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.04 / $131.87 / $203.46	Facility		$99.04	$131.87	$203.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $134.12 / $246.64	Professional		$134.12	$134.12	$246.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $190.20 / $248.70	Professional		$175.00	$190.20	$248.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $135.44 / $277.24	Professional		$97.26	$135.44	$277.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $257.75 / $1,300.00	Facility		$55.00	$257.75	$1,300.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $824.55 / $824.55 / $1,607.11	Professional		$824.55	$824.55	$1,607.11