Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.05 / $202.02 / $4,311.00	Facility		$146.05	$202.02	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $154.74 / $269.38	Professional		$109.60	$154.74	$269.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.43 / $130.27 / $221.06	Facility		$118.43	$130.27	$221.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.58 / $224.83 / $403.84	Professional		$141.58	$224.83	$403.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.52 / $194.36 / $575.00	Facility		$116.52	$194.36	$575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.83 / $204.76 / $371.34	Professional		$127.83	$204.76	$371.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $185.69 / $275.82	Facility		$112.67	$185.69	$275.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.46 / $191.70 / $392.04	Professional		$123.46	$191.70	$392.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $184.70 / $372.10	Professional		$154.60	$184.70	$372.10
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $905.00 / $2,921.00	Facility		$226.00	$905.00	$2,921.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.35 / $185.39 / $414.44	Professional		$137.35	$185.39	$414.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $815.28 / $815.28	Facility		$55.00	$815.28	$815.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $859.44 / $1,138.64 / $1,333.35	Professional		$859.44	$1,138.64	$1,333.35