Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.52 / $248.27 / $5,449.00	Facility		$106.52	$248.27	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $166.75 / $222.18	Professional		$106.52	$166.75	$222.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $221.43 / $425.45	Professional		$135.94	$221.43	$425.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $167.54 / $505.65	Facility		$50.00	$167.54	$505.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.79 / $206.85 / $376.06	Professional		$126.79	$206.85	$376.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.52 / $174.99 / $277.98	Facility		$106.52	$174.99	$277.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $118.98 / $193.24 / $439.97	Professional		$118.98	$193.24	$439.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $174.20 / $382.70	Professional		$145.00	$174.20	$382.70
United Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $120.00 / $1,251.00	Facility		$54.00	$120.00	$1,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.36 / $198.69 / $417.83	Professional		$143.36	$198.69	$417.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $552.19 / $552.19	Facility		$55.00	$552.19	$552.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $796.56 / $1,273.76 / $1,473.60	Professional		$796.56	$1,273.76	$1,473.60