Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.01 / $208.42 / $1,615.00	Facility		$115.01	$208.42	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $198.83 / $314.05	Professional		$115.01	$198.83	$314.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.87 / $283.01 / $535.79	Professional		$177.87	$283.01	$535.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $249.22 / $456.78	Professional		$142.41	$249.22	$456.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.01 / $200.02 / $383.31	Facility		$115.01	$200.02	$383.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $240.88 / $240.88 / $521.17	Professional		$240.88	$240.88	$521.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $155.90 / $553.79	Professional		$5.00	$155.90	$553.79
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 $188.76 / $254.67 / $562.96	Professional		$188.76	$254.67	$562.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $834.72 / $834.72	Facility		$55.00	$834.72	$834.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $1,470.32 / $1,716.45	Professional		$880.96	$1,470.32	$1,716.45