Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.32 / $1,918.50 / $4,311.00	Facility		$120.32	$1,918.50	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.95 / $145.43 / $231.22	Professional		$86.95	$145.43	$231.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.31 / $219.54 / $372.50	Professional		$110.31	$219.54	$372.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.09 / $207.21 / $395.75	Facility		$142.09	$207.21	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.69 / $176.98 / $347.01	Professional		$102.69	$176.98	$347.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.64 / $162.13 / $243.59	Facility		$87.64	$162.13	$243.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $174.51 / $387.40	Professional		$125.70	$174.51	$387.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $149.30 / $358.50	Professional		$128.30	$149.30	$358.50
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $475.00 / $2,912.00	Facility		$226.00	$475.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $168.77 / $370.79	Professional		$125.09	$168.77	$370.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $635.46 / $635.46	Facility		$55.00	$635.46	$635.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $669.76 / $1,206.56 / $1,417.73	Professional		$669.76	$1,206.56	$1,417.73