Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.02 / $177.54 / $6,953.60	Facility		$112.02	$177.54	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $115.52 / $183.74	Professional		$109.53	$115.52	$183.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.52 / $262.33 / $310.33	Professional		$154.52	$262.33	$310.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $515.00 / $606.10	Facility		$129.34	$515.00	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $199.70 / $316.10	Professional		$135.28	$199.70	$316.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.02 / $180.28 / $212.47	Facility		$112.02	$180.28	$212.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $162.00 / $299.89	Professional		$148.00	$162.00	$299.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $158.21 / $243.90	Professional		$123.70	$158.21	$243.90
United Facility/Professional Facility Modifier Low / Median / High Price $301.00 / $661.00 / $4,877.00	Facility		$301.00	$661.00	$4,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.17 / $158.11 / $302.23	Professional		$110.17	$158.11	$302.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $426.76 / $524.83	Facility		$55.00	$426.76	$524.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $787.60 / $787.60 / $963.30	Professional		$787.60	$787.60	$963.30