Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $346.74 / $5,495.41	Facility		$77.62	$346.74	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $218.78 / $501.19	Professional		$77.62	$218.78	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $218.78 / $602.56	Professional		$107.15	$218.78	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $602.56 / $2,290.87	Facility		$323.59	$602.56	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $229.09 / $524.81	Professional		$91.20	$229.09	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $204.17 / $416.87	Facility		$77.62	$204.17	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $426.58 / $616.60	Professional		$125.89	$426.58	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,890.45 / $9,549.93	Facility		$912.01	$3,890.45	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $181.97 / $354.81	Professional		$74.13	$181.97	$354.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $19,498.45	Facility		$7,943.28	$7,943.28	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,290.87	Professional		$1,905.46	$1,905.46	$2,290.87