Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.19 / $934.28 / $5,177.00	Facility		$161.19	$934.28	$5,177.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.82 / $213.76 / $572.62	Professional		$106.82	$213.76	$572.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.01 / $284.77 / $520.32	Professional		$136.01	$284.77	$520.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $675.44 / $1,274.22	Facility		$323.44	$675.44	$1,274.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $226.48 / $457.24	Professional		$123.00	$226.48	$457.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.82 / $227.17 / $329.19	Facility		$106.82	$227.17	$329.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $396.00 / $474.00	Professional		$290.00	$396.00	$474.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.80 / $172.67 / $472.00	Professional		$134.80	$172.67	$472.00
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $650.00 / $4,824.00	Facility		$393.00	$650.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.36 / $247.98 / $584.33	Professional		$172.36	$247.98	$584.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $756.96 / $756.96 / $12,000.00	Facility		$756.96	$756.96	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $797.72 / $1,521.76 / $1,790.85	Professional		$797.72	$1,521.76	$1,790.85