Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.17 / $349.30 / $3,081.74	Facility		$82.17	$349.30	$3,081.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $117.82 / $198.73	Professional		$82.17	$117.82	$198.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.24 / $198.60 / $330.85	Professional		$129.24	$198.60	$330.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.38 / $170.01 / $287.37	Professional		$103.38	$170.01	$287.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.17 / $157.58 / $253.83	Facility		$82.17	$157.58	$253.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $160.19 / $294.19	Professional		$160.19	$160.19	$294.19
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $240.29 / $240.29 / $240.29	Professional	50	$240.29	$240.29	$240.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $170.70 / $314.00	Professional		$3.00	$170.70	$314.00
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 $114.72 / $162.78 / $335.48	Professional		$114.72	$162.78	$335.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $419.43 / $419.43	Facility		$55.00	$419.43	$419.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $615.67 / $868.56 / $1,003.50	Professional		$615.67	$868.56	$1,003.50