Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.13 / $1,338.90 / $4,311.00	Facility		$97.13	$1,338.90	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $119.04 / $286.92	Professional		$77.63	$119.04	$286.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $210.90 / $326.67	Professional		$121.70	$210.90	$326.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.00 / $682.00 / $682.00	Facility		$682.00	$682.00	$682.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $162.28 / $254.41	Professional		$98.20	$162.28	$254.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.63 / $151.00 / $243.35	Facility		$77.63	$151.00	$243.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $158.00 / $310.58	Professional		$158.00	$158.00	$310.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $169.80 / $300.89	Professional		$4.00	$169.80	$300.89
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 $117.56 / $168.90 / $318.45	Professional		$117.56	$168.90	$318.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $383.37 / $383.37 / $11,500.00	Facility		$383.37	$383.37	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $559.52 / $829.12 / $1,018.73	Professional		$559.52	$829.12	$1,018.73