Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.57 / $415.56 / $7,278.00	Facility		$159.57	$415.56	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.57 / $252.70 / $356.11	Professional		$159.57	$252.70	$356.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.34 / $415.76 / $688.46	Professional		$239.34	$415.76	$688.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.71 / $283.95 / $530.04	Facility		$194.71	$283.95	$530.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.42 / $317.22 / $598.99	Professional		$205.42	$317.22	$598.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $159.57 / $265.33 / $429.59	Facility		$159.57	$265.33	$429.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $224.16 / $316.19 / $664.00	Professional		$224.16	$316.19	$664.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $258.39 / $638.60	Professional		$214.70	$258.39	$638.60
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 $221.47 / $302.50 / $702.91	Professional		$221.47	$302.50	$702.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,116.83 / $1,116.83	Facility		$55.00	$1,116.83	$1,116.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,182.96 / $1,822.40 / $2,117.17	Professional		$1,182.96	$1,822.40	$2,117.17