Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $288.40 / $1,000.00	Facility		$117.49	$288.40	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $537.03	Professional		$107.15	$204.17	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $141.25 / $158.49	Facility		$123.03	$141.25	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $229.09 / $436.52	Professional		$109.65	$229.09	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $223.87 / $478.63	Facility		$151.36	$223.87	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $426.58	Professional		$117.49	$213.80	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $190.55 / $331.13	Facility		$107.15	$190.55	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $446.68	Professional		$154.88	$295.12	$446.68
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 $97.72 / $158.49 / $288.40	Professional		$97.72	$158.49	$288.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,513.56 / $1,513.56	Facility		$147.91	$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