Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.61 / $191.95 / $5,449.00	Facility		$84.61	$191.95	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.61 / $113.20 / $168.14	Professional		$84.61	$113.20	$168.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.47 / $154.66 / $307.22	Professional		$98.47	$154.66	$307.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $80.69 / $505.65	Facility		$50.00	$80.69	$505.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $147.32 / $284.14	Professional		$93.30	$147.32	$284.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.61 / $116.67 / $192.44	Facility		$84.61	$116.67	$192.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $128.00 / $314.42	Professional		$92.88	$128.00	$314.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $116.10 / $282.39	Professional		$97.70	$116.10	$282.39
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 $96.90 / $135.50 / $293.19	Professional		$96.90	$135.50	$293.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $543.90 / $543.90	Facility		$55.00	$543.90	$543.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $574.96 / $733.41 / $837.15	Professional		$574.96	$733.41	$837.15