Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.44 / $158.75 / $5,449.00	Facility		$48.44	$158.75	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $117.07 / $180.98	Professional		$48.44	$117.07	$180.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $210.92 / $525.84	Professional		$36.26	$210.92	$525.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $85.08 / $85.08	Facility		$85.08	$85.08	$85.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $135.19 / $337.45	Professional		$56.43	$135.19	$337.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $154.88 / $621.00	Facility		$51.35	$154.88	$621.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $115.50 / $341.57 / $931.50	Facility	50	$115.50	$341.57	$931.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $134.00 / $459.52	Professional		$134.00	$134.00	$459.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $209.60 / $518.40	Professional		$142.10	$209.60	$518.40
United Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $874.00 / $2,074.00	Facility		$116.00	$874.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.46 / $201.70 / $369.10	Professional		$113.46	$201.70	$369.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $347.28 / $347.28	Facility		$55.00	$347.28	$347.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,002.43 / $2,020.93 / $3,514.80	Professional		$1,002.43	$2,020.93	$3,514.80