Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.92 / $127.59 / $1,615.00	Facility		$82.92	$127.59	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $111.50 / $183.63	Professional		$82.92	$111.50	$183.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $183.14 / $291.30	Professional		$126.59	$183.14	$291.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.71 / $160.62 / $265.14	Professional		$98.71	$160.62	$265.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.92 / $145.85 / $222.59	Facility		$82.92	$145.85	$222.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.85 / $145.85 / $275.14	Professional		$145.85	$145.85	$275.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $170.90 / $302.20	Professional		$3.00	$170.90	$302.20
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 $103.31 / $149.66 / $317.54	Professional		$103.31	$149.66	$317.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $454.10 / $454.10	Facility		$55.00	$454.10	$454.10
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $644.88 / $895.28 / $994.80	Professional		$644.88	$895.28	$994.80