Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.85 / $178.13 / $5,449.00	Facility		$43.85	$178.13	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $79.81 / $173.10	Professional		$43.85	$79.81	$173.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.14 / $646.98 / $646.98	Professional	50	$126.14	$646.98	$646.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.04 / $151.41 / $273.85	Professional		$83.04	$151.41	$273.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.60 / $86.60 / $395.75	Facility		$86.60	$86.60	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $130.85 / $221.92	Professional		$62.66	$130.85	$221.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.74 / $129.96 / $198.89	Facility		$44.74	$129.96	$198.89
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $148.65 / $223.50 / $289.36	Facility	50	$148.65	$223.50	$289.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $147.00 / $148.78	Professional		$104.00	$147.00	$148.78
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $223.17 / $223.17 / $223.17	Professional	50	$223.17	$223.17	$223.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $79.51 / $126.87	Professional		$60.35	$79.51	$126.87
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $132.66 / $215.88	Professional		$67.45	$132.66	$215.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $291.62 / $291.62	Facility		$55.00	$291.62	$291.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $1,017.00 / $1,017.00	Professional		$1,017.00	$1,017.00	$1,017.00