Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.31 / $547.27 / $4,311.00	Facility		$103.31	$547.27	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $144.66 / $227.59	Professional		$89.03	$144.66	$227.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.43 / $220.76 / $384.46	Professional		$117.43	$220.76	$384.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $153.58 / $812.00	Facility		$153.58	$153.58	$812.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.80 / $190.42 / $330.90	Professional		$115.80	$190.42	$330.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.03 / $156.00 / $269.22	Facility		$89.03	$156.00	$269.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $190.00 / $358.34	Professional		$170.00	$190.00	$358.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $152.69 / $316.80	Professional		$27.40	$152.69	$316.80
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 $132.28 / $191.96 / $371.51	Professional		$132.28	$191.96	$371.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $507.10 / $507.10	Facility		$55.00	$507.10	$507.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $651.20 / $1,073.52 / $1,234.88	Professional		$651.20	$1,073.52	$1,234.88