Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $126.56 / $5,449.00	Facility		$77.20	$126.56	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $102.89 / $155.94	Professional		$77.20	$102.89	$155.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $176.96 / $259.39	Professional		$100.86	$176.96	$259.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $135.94 / $135.94	Facility		$135.94	$135.94	$135.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $143.22 / $261.36	Professional		$90.79	$143.22	$261.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.92 / $127.06 / $206.00	Facility		$84.92	$127.06	$206.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $148.00	Professional		$123.00	$123.00	$148.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $112.90 / $194.90	Professional		$27.40	$112.90	$194.90
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 $92.62 / $128.56 / $271.64	Professional		$92.62	$128.56	$271.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $398.43 / $398.43	Facility		$55.00	$398.43	$398.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $903.00 / $903.00 / $903.00	Professional		$903.00	$903.00	$903.00