Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.93 / $441.86 / $5,449.00	Facility		$139.93	$441.86	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.93 / $287.70 / $504.65	Professional		$139.93	$287.70	$504.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $489.08 / $716.47	Professional		$194.75	$489.08	$716.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $820.28	Facility		$395.75	$395.75	$820.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $346.90 / $665.80	Professional		$158.19	$346.90	$665.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.93 / $357.35 / $860.00	Facility		$139.93	$357.35	$860.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $358.53 / $367.00 / $400.00	Professional		$358.53	$367.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.46 / $407.20 / $540.98	Professional		$202.46	$407.20	$540.98
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.72 / $416.07 / $720.26	Professional		$268.72	$416.07	$720.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $812.35 / $812.35 / $12,000.00	Facility		$812.35	$812.35	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,148.75 / $2,271.35 / $2,567.48	Professional		$1,148.75	$2,271.35	$2,567.48