Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $79.48 / $1,615.00	Facility		$47.05	$79.48	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $78.79 / $90.05	Professional		$47.05	$78.79	$90.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $134.87 / $201.80	Professional		$72.27	$134.87	$201.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $100.60 / $172.47	Professional		$60.54	$100.60	$172.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $91.00 / $151.10	Facility		$47.05	$91.00	$151.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.78 / $96.78 / $196.94	Professional		$96.78	$96.78	$196.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $136.69 / $212.60	Professional		$99.10	$136.69	$212.60
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 $71.54 / $108.22 / $223.58	Professional		$71.54	$108.22	$223.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $230.28 / $230.28	Facility		$55.00	$230.28	$230.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $592.16 / $698.03	Professional		$351.00	$592.16	$698.03