Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.85 / $153.71 / $1,615.00	Facility		$105.85	$153.71	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.85 / $142.37 / $291.58	Professional		$105.85	$142.37	$291.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.80 / $219.92 / $369.44	Professional		$149.80	$219.92	$369.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.77 / $192.71 / $350.31	Professional		$117.77	$192.71	$350.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.85 / $171.71 / $279.00	Facility		$105.85	$171.71	$279.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $171.71 / $171.71 / $345.98	Professional		$171.71	$171.71	$345.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $200.00 / $375.70	Professional		$3.00	$200.00	$375.70
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.08 / $178.37 / $385.59	Professional		$115.08	$178.37	$385.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $589.33 / $589.33	Facility		$55.00	$589.33	$589.33
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $829.84 / $1,063.59 / $1,236.53	Professional		$829.84	$1,063.59	$1,236.53