Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $901.00 / $5,454.16	Facility		$70.23	$901.00	$5,454.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $91.14 / $196.86	Professional		$42.10	$91.14	$196.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.40 / $135.40 / $137.37	Facility		$135.40	$135.40	$137.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $165.52 / $299.13	Professional		$74.76	$165.52	$299.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.16 / $97.16 / $606.10	Facility		$97.16	$97.16	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $125.70 / $251.27	Professional		$58.90	$125.70	$251.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $102.99 / $171.65	Facility		$45.22	$102.99	$171.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $155.00 / $171.65	Professional		$118.00	$155.00	$171.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $120.80 / $359.90	Professional		$65.12	$120.80	$359.90
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $874.00 / $2,074.00	Facility		$206.00	$874.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.98 / $182.91 / $260.58	Professional		$94.98	$182.91	$260.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $222.59 / $222.59	Facility		$55.00	$222.59	$222.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $355.46 / $377.40 / $888.72	Professional		$355.46	$377.40	$888.72