Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.85 / $182.38 / $5,449.00	Facility		$84.85	$182.38	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $148.49 / $205.68	Professional		$84.85	$148.49	$205.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $209.04 / $312.62	Professional		$136.12	$209.04	$312.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.02 / $181.31 / $341.86	Professional		$109.02	$181.31	$341.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.85 / $168.00 / $329.65	Facility		$84.85	$168.00	$329.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $162.97 / $365.79	Professional		$162.97	$162.97	$365.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $247.10 / $459.10	Professional		$3.00	$247.10	$459.10
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $189.33 / $385.66	Professional		$121.84	$189.33	$385.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $423.65 / $423.65 / $11,500.00	Facility		$423.65	$423.65	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $635.79 / $1,950.30 / $1,950.30	Professional		$635.79	$1,950.30	$1,950.30