Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $239.88 / $7,585.78	Facility		$102.33	$239.88	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $147.91 / $331.13	Professional		$61.66	$147.91	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $114.82 / $128.82	Facility		$100.00	$114.82	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $346.74	Professional		$89.13	$173.78	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $208.93 / $602.56	Facility		$120.23	$208.93	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $177.83 / $331.13	Professional		$77.62	$177.83	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $158.49 / $269.15	Facility		$64.57	$158.49	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $263.03 / $363.08	Professional		$91.20	$263.03	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,778.28 / $5,888.44	Facility		$398.11	$1,778.28	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $229.09	Professional		$61.66	$120.23	$229.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,951.21 / $2,951.21	Facility		$56.23	$2,951.21	$2,951.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,380.38	Professional		$1,174.90	$1,174.90	$1,380.38