Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.96 / $753.90 / $4,482.91	Facility		$111.96	$753.90	$4,482.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $144.40 / $247.39	Professional		$98.65	$144.40	$247.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.88 / $244.89 / $361.58	Professional		$164.88	$244.89	$361.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.73 / $200.02 / $337.46	Professional		$127.73	$200.02	$337.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.65 / $178.22 / $266.76	Facility		$98.65	$178.22	$266.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.65 / $183.65 / $359.35	Professional		$183.65	$183.65	$359.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $238.00 / $394.50	Professional		$3.00	$238.00	$394.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $193.65 / $412.43	Professional		$131.82	$193.65	$412.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $509.63 / $509.63	Facility		$55.00	$509.63	$509.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $748.16 / $846.23 / $1,242.23	Professional		$748.16	$846.23	$1,242.23