Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.27 / $903.00 / $4,311.00	Facility		$57.27	$903.00	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $73.12 / $107.35	Professional		$56.42	$73.12	$107.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.43 / $67.56 / $114.66	Facility		$61.43	$67.56	$114.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $133.94 / $211.50	Professional		$74.30	$133.94	$211.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $85.27 / $395.75	Facility		$51.12	$85.27	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $104.78 / $194.59	Professional		$66.92	$104.78	$194.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $90.00 / $139.22	Facility		$56.42	$90.00	$139.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $96.00 / $196.65	Professional		$64.15	$96.00	$196.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $87.70 / $194.60	Professional		$75.90	$87.70	$194.60
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 $68.84 / $90.70 / $195.09	Professional		$68.84	$90.70	$195.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $411.60 / $411.60	Facility		$55.00	$411.60	$411.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $433.84 / $538.79 / $631.88	Professional		$433.84	$538.79	$631.88