Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.06 / $1,245.00 / $4,311.00	Facility		$141.06	$1,245.00	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $209.91 / $377.87	Professional		$126.41	$209.91	$377.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.52 / $319.89 / $531.01	Professional		$179.52	$319.89	$531.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.45 / $276.29 / $395.75	Facility		$189.45	$276.29	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $248.05 / $482.04	Professional		$146.94	$248.05	$482.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.41 / $221.02 / $346.52	Facility		$126.41	$221.02	$346.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $182.02 / $250.71 / $551.26	Professional		$182.02	$250.71	$551.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.70 / $211.30 / $504.70	Professional		$181.70	$211.30	$504.70
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $661.00 / $4,824.00	Facility		$393.00	$661.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.30 / $245.80 / $578.40	Professional		$179.30	$245.80	$578.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $893.64 / $893.64	Facility		$55.00	$893.64	$893.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $943.04 / $1,632.56 / $1,913.10	Professional		$943.04	$1,632.56	$1,913.10