Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.40 / $2,588.50 / $4,311.00	Facility		$146.40	$2,588.50	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $148.19 / $216.88	Professional		$103.56	$148.19	$216.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.12 / $134.33 / $227.95	Facility		$122.12	$134.33	$227.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.83 / $222.96 / $409.26	Professional		$150.83	$222.96	$409.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.51 / $179.86 / $395.75	Facility		$110.51	$179.86	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $199.87 / $361.30	Professional		$125.49	$199.87	$361.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.56 / $176.00 / $258.88	Facility		$103.56	$176.00	$258.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $191.00 / $395.52	Professional		$129.41	$191.00	$395.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $162.00 / $377.10	Professional		$139.80	$162.00	$377.10
United Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $120.00 / $1,251.00	Facility		$54.00	$120.00	$1,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $178.06 / $381.13	Professional		$134.36	$178.06	$381.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $741.90 / $741.90	Facility		$55.00	$741.90	$741.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $784.56 / $1,070.88 / $1,244.70	Professional		$784.56	$1,070.88	$1,244.70