Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.17 / $1,245.00 / $6,953.60	Facility		$38.17	$1,245.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $41.67 / $71.52	Professional		$37.99	$41.67	$71.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $76.51 / $116.00	Professional		$50.62	$76.51	$116.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.47 / $44.47 / $812.00	Facility		$44.47	$44.47	$812.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $69.65 / $122.80	Professional		$49.26	$69.65	$122.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.17 / $63.18 / $92.00	Facility		$38.17	$63.18	$92.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $59.37 / $95.23	Professional		$53.00	$59.37	$95.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $75.09 / $93.40	Professional		$63.00	$75.09	$93.40
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 $38.63 / $52.30 / $107.19	Professional		$38.63	$52.30	$107.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $299.88 / $1,300.00	Facility		$55.00	$299.88	$1,300.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $496.00 / $496.00 / $496.00	Professional		$496.00	$496.00	$496.00