Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.90 / $212.49 / $4,311.00	Facility		$109.90	$212.49	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $186.72 / $336.06	Professional		$123.65	$186.72	$336.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.99 / $261.11 / $475.59	Professional		$162.99	$261.11	$475.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $338.41 / $530.00	Facility		$213.62	$338.41	$530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $234.05 / $429.68	Professional		$147.19	$234.05	$429.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.65 / $208.17 / $315.29	Facility		$123.65	$208.17	$315.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $244.00 / $504.49	Professional		$30.53	$244.00	$504.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $222.00 / $428.40	Professional		$188.10	$222.00	$428.40
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 $155.81 / $218.27 / $483.10	Professional		$155.81	$218.27	$483.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $867.72 / $867.72	Facility		$55.00	$867.72	$867.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $916.16 / $1,474.48 / $1,731.38	Professional		$916.16	$1,474.48	$1,731.38