Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.06 / $790.23 / $5,177.00	Facility		$87.06	$790.23	$5,177.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $96.34 / $163.50	Professional		$51.38	$96.34	$163.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.71 / $96.48 / $163.72	Facility		$87.71	$96.48	$163.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $150.44 / $268.35	Professional		$72.28	$150.44	$268.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.05 / $107.99 / $395.75	Facility		$74.05	$107.99	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.40 / $119.70 / $227.64	Professional		$67.40	$119.70	$227.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.57 / $113.91 / $171.03	Facility		$51.57	$113.91	$171.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.64 / $121.00 / $257.64	Professional		$90.64	$121.00	$257.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $136.10 / $249.50	Professional		$116.50	$136.10	$249.50
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $475.00 / $2,912.00	Facility		$226.00	$475.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.69 / $116.88 / $247.16	Professional		$89.69	$116.88	$247.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $363.90 / $363.90	Facility		$55.00	$363.90	$363.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $753.03 / $786.90	Professional		$435.00	$753.03	$786.90