Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $191.36 / $5,449.00	Facility		$61.70	$191.36	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $121.71 / $240.48	Professional		$61.70	$121.71	$240.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.59 / $106.24 / $180.29	Facility		$96.59	$106.24	$180.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.12 / $186.80 / $344.70	Professional		$95.12	$186.80	$344.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.52 / $207.75 / $606.10	Facility		$119.52	$207.75	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $183.17 / $335.62	Professional		$84.86	$183.17	$335.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.77 / $166.71 / $249.60	Facility		$62.77	$166.71	$249.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $154.28 / $369.85	Professional		$103.68	$154.28	$369.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $201.10 / $366.40	Professional		$91.16	$201.10	$366.40
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 $114.10 / $168.13 / $356.25	Professional		$114.10	$168.13	$356.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $368.75 / $368.75	Facility		$55.00	$368.75	$368.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $1,183.11 / $1,394.70	Professional		$825.00	$1,183.11	$1,394.70