Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.44 / $211.90 / $5,449.00	Facility		$106.44	$211.90	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $144.01 / $247.66	Professional		$105.68	$144.01	$247.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.55 / $120.50 / $204.48	Facility		$109.55	$120.50	$204.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.93 / $246.17 / $378.76	Professional		$132.93	$246.17	$378.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.13 / $178.69 / $395.75	Facility		$107.13	$178.69	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.18 / $194.29 / $351.87	Professional		$124.18	$194.29	$351.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.44 / $172.81 / $255.95	Facility		$106.44	$172.81	$255.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $179.51 / $367.52	Professional		$115.62	$179.51	$367.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.30 / $165.10 / $348.80	Professional		$142.30	$165.10	$348.80
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 $124.33 / $169.27 / $354.60	Professional		$124.33	$169.27	$354.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $764.88 / $764.88	Facility		$55.00	$764.88	$764.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $808.64 / $1,052.00 / $1,221.83	Professional		$808.64	$1,052.00	$1,221.83