Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $105.45 / $4,311.00	Facility		$47.96	$105.45	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $105.45 / $130.72	Professional		$47.96	$105.45	$130.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $142.05 / $289.08	Professional		$74.76	$142.05	$289.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $127.23 / $250.77	Professional		$58.90	$127.23	$250.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $126.54 / $208.83	Facility		$47.96	$126.54	$208.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $135.69 / $281.39	Professional		$135.69	$135.69	$281.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $122.80 / $287.39	Professional		$3.00	$122.80	$287.39
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 $101.46 / $144.55 / $299.37	Professional		$101.46	$144.55	$299.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $233.80 / $233.80	Facility		$55.00	$233.80	$233.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $389.42 / $395.48 / $862.20	Professional		$389.42	$395.48	$862.20