Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.11 / $1,615.00 / $6,953.60	Facility		$121.11	$1,615.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.78 / $121.11 / $146.13	Professional		$115.78	$121.11	$146.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $252.85 / $357.52	Professional		$137.63	$252.85	$357.52
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 $126.01 / $181.66 / $316.24	Professional		$126.01	$181.66	$316.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.11 / $152.41 / $205.27	Facility		$121.11	$152.41	$205.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $749.71 / $1,107.11	Professional		$156.00	$749.71	$1,107.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $203.00 / $222.30	Professional		$5.00	$203.00	$222.30
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 $104.73 / $142.66 / $320.56	Professional		$104.73	$142.66	$320.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $680.94 / $3,728.65	Facility		$55.00	$680.94	$3,728.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $872.64 / $872.64 / $1,046.40	Professional		$872.64	$872.64	$1,046.40