Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.48 / $2,490.13 / $4,086.00	Facility		$168.48	$2,490.13	$4,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $183.29 / $391.32	Professional		$105.34	$183.29	$391.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $231.78 / $456.25	Professional		$120.29	$231.78	$456.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.90 / $243.39 / $395.75	Facility		$166.90	$243.39	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.53 / $223.43 / $443.79	Professional		$124.53	$223.43	$443.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.94 / $204.08 / $309.88	Facility		$110.94	$204.08	$309.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $204.08 / $497.00	Professional		$136.88	$204.08	$497.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $230.80 / $457.70	Professional		$161.41	$230.80	$457.70
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 $148.85 / $213.08 / $494.60	Professional		$148.85	$213.08	$494.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $780.24 / $780.24	Facility		$55.00	$780.24	$780.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $822.16 / $1,518.88 / $1,792.13	Professional		$822.16	$1,518.88	$1,792.13