Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $295.12 / $5,248.07	Facility		$123.03	$295.12	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $436.52	Professional		$123.03	$199.53	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $489.78	Professional		$154.88	$245.47	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $338.84 / $524.81	Facility		$213.80	$338.84	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $426.58	Professional		$144.54	$223.87	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $204.17 / $331.13	Facility		$123.03	$204.17	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $436.52	Professional		$186.21	$363.08	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $446.68 / $1,348.96	Facility		$77.62	$446.68	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $309.03	Professional		$117.49	$173.78	$309.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,513.56 / $1,513.56	Facility		$56.23	$1,513.56	$1,513.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,737.80	Professional		$1,479.11	$1,479.11	$1,737.80