Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.34 / $149.09 / $5,449.00	Facility		$67.34	$149.09	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $110.64 / $199.90	Professional		$67.34	$110.64	$199.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $194.02 / $393.62	Professional		$115.10	$194.02	$393.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.90 / $118.90 / $118.90	Facility		$118.90	$118.90	$118.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $140.33 / $290.77	Professional		$82.37	$140.33	$290.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.00 / $137.82 / $649.00	Facility		$74.00	$137.82	$649.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $431.00	Professional		$125.00	$125.00	$431.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $175.60 / $545.70	Professional		$91.80	$175.60	$545.70
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 $96.28 / $147.77 / $319.93	Professional		$96.28	$147.77	$319.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $736.69 / $1,055.95	Facility		$55.00	$736.69	$1,055.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,068.05 / $2,133.71 / $3,694.98	Professional		$1,068.05	$2,133.71	$3,694.98