Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.23 / $4,311.00 / $6,327.53	Facility		$174.23	$4,311.00	$6,327.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.03 / $206.37 / $302.98	Professional		$116.03	$206.37	$302.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.11 / $306.17 / $523.73	Professional		$151.11	$306.17	$523.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.20 / $273.00 / $575.00	Facility		$187.20	$273.00	$575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.90 / $240.75 / $464.40	Professional		$150.90	$240.75	$464.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.78 / $214.62 / $331.78	Facility		$117.78	$214.62	$331.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.11 / $245.36 / $540.16	Professional		$186.11	$245.36	$540.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.30 / $191.80 / $501.60	Professional		$160.30	$191.80	$501.60
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 $176.52 / $243.13 / $569.66	Professional		$176.52	$243.13	$569.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $845.28 / $845.28	Facility		$55.00	$845.28	$845.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $893.12 / $1,573.12 / $1,837.28	Professional		$893.12	$1,573.12	$1,837.28