Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.24 / $288.79 / $5,449.00	Facility		$133.24	$288.79	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $222.94 / $464.00	Professional		$127.06	$222.94	$464.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.03 / $183.73 / $311.77	Facility		$167.03	$183.73	$311.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.52 / $328.86 / $601.34	Professional		$166.52	$328.86	$601.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.45 / $280.66 / $395.75	Facility		$192.45	$280.66	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.40 / $268.38 / $514.41	Professional		$154.40	$268.38	$514.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.24 / $256.42 / $376.96	Facility		$133.24	$256.42	$376.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.96 / $269.99 / $593.01	Professional		$128.96	$269.99	$593.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.30 / $226.10 / $505.90	Professional		$195.30	$226.10	$505.90
United Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $120.00 / $1,251.00	Facility		$54.00	$120.00	$1,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.57 / $259.08 / $566.99	Professional		$193.57	$259.08	$566.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $956.10 / $956.10	Facility		$55.00	$956.10	$956.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,010.08 / $1,749.68 / $2,050.28	Professional		$1,010.08	$1,749.68	$2,050.28