Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $1,091.77 / $4,311.00	Facility		$115.20	$1,091.77	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $127.76 / $316.43	Professional		$82.31	$127.76	$316.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.99 / $186.26 / $348.55	Professional		$107.99	$186.26	$348.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $650.35 / $1,226.89	Facility		$323.44	$650.35	$1,226.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.39 / $174.28 / $408.50	Professional		$98.39	$174.28	$408.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.28 / $157.29 / $303.60	Facility		$85.28	$157.29	$303.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $270.26 / $396.00 / $450.00	Professional		$270.26	$396.00	$450.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.16 / $184.90 / $558.50	Professional		$135.16	$184.90	$558.50
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $650.00 / $4,824.00	Facility		$393.00	$650.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $157.33 / $377.19	Professional		$106.49	$157.33	$377.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $593.88 / $593.88 / $12,000.00	Facility		$593.88	$593.88	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $951.42 / $1,801.68 / $2,125.13	Professional		$951.42	$1,801.68	$2,125.13