Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.74 / $771.82 / $4,311.00	Facility		$147.74	$771.82	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.62 / $177.59 / $395.57	Professional		$104.62	$177.59	$395.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.60 / $260.79 / $430.42	Professional		$133.60	$260.79	$430.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.97 / $218.72 / $395.75	Facility		$149.97	$218.72	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $212.85 / $392.67	Professional		$131.94	$212.85	$392.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.62 / $201.46 / $282.79	Facility		$104.62	$201.46	$282.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.27 / $201.46 / $436.97	Professional		$134.27	$201.46	$436.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.60 / $190.60 / $399.60	Professional		$164.60	$190.60	$399.60
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 $144.74 / $198.50 / $419.11	Professional		$144.74	$198.50	$419.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $743.46 / $743.46 / $11,500.00	Facility		$743.46	$743.46	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $786.08 / $1,342.00 / $1,567.88	Professional		$786.08	$1,342.00	$1,567.88