Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.95 / $1,245.00 / $5,449.00	Facility		$127.95	$1,245.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $130.00 / $209.89	Professional		$122.66	$130.00	$209.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.35 / $240.17 / $368.23	Professional		$150.35	$240.17	$368.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $495.36 / $812.00	Facility		$147.79	$495.36	$812.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.35 / $214.10 / $347.98	Professional		$150.35	$214.10	$347.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.95 / $175.41 / $228.48	Facility		$127.95	$175.41	$228.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $180.00 / $1,679.39	Professional		$163.00	$180.00	$1,679.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.60 / $259.89 / $322.30	Professional		$224.60	$259.89	$322.30
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 $122.97 / $169.31 / $334.10	Professional		$122.97	$169.31	$334.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $415.22 / $610.79	Facility		$55.00	$415.22	$610.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $907.20 / $907.20 / $1,114.58	Professional		$907.20	$907.20	$1,114.58