Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.40 / $2,291.64 / $4,311.00	Facility		$107.40	$2,291.64	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $107.41 / $175.18	Professional		$75.30	$107.41	$175.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $178.48 / $283.41	Professional		$116.59	$178.48	$283.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.91 / $154.46 / $268.50	Professional		$98.91	$154.46	$268.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $144.00 / $216.47	Facility		$75.81	$144.00	$216.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $271.89	Professional		$144.00	$144.00	$271.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $167.10 / $281.70	Professional		$3.00	$167.10	$281.70
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 $108.26 / $151.56 / $298.89	Professional		$108.26	$151.56	$298.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $365.80 / $365.80	Facility		$55.00	$365.80	$365.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $552.64 / $911.48 / $973.08	Professional		$552.64	$911.48	$973.08