Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.57 / $267.37 / $5,449.00	Facility		$137.57	$267.37	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.57 / $170.97 / $255.65	Professional		$137.57	$170.97	$255.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.68 / $295.94 / $462.30	Professional		$159.68	$295.94	$462.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.14 / $254.75 / $440.42	Professional		$174.14	$254.75	$440.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.57 / $224.00 / $375.24	Facility		$137.57	$224.00	$375.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $236.19 / $236.19 / $433.36	Professional		$236.19	$236.19	$433.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $260.30 / $445.80	Professional		$3.00	$260.30	$445.80
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 $168.75 / $249.76 / $514.98	Professional		$168.75	$249.76	$514.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $692.50 / $692.50	Facility		$55.00	$692.50	$692.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,027.35 / $1,306.56 / $1,499.93	Professional		$1,027.35	$1,306.56	$1,499.93