Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.87 / $192.15 / $7,439.00	Facility		$121.87	$192.15	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.87 / $121.87 / $242.00	Professional		$121.87	$121.87	$242.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.07 / $218.30 / $314.16	Professional		$160.07	$218.30	$314.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.81 / $200.07 / $338.07	Professional		$140.81	$200.07	$338.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.87 / $154.27 / $249.76	Facility		$121.87	$154.27	$249.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.27 / $154.27 / $339.43	Professional		$154.27	$154.27	$339.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $221.30 / $310.50	Professional		$146.19	$221.30	$310.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.69 / $170.58 / $339.53	Professional		$117.69	$170.58	$339.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $292.74 / $1,300.00	Facility		$55.00	$292.74	$1,300.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $883.32 / $883.32 / $1,123.34	Professional		$883.32	$883.32	$1,123.34