Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $1,457.72 / $5,576.63	Facility		$67.90	$1,457.72	$5,576.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $110.53 / $223.97	Professional		$60.43	$110.53	$223.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.01 / $299.01 / $303.38	Facility		$299.01	$299.01	$303.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.56 / $210.19 / $525.01	Professional		$97.56	$210.19	$525.01
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 $84.47 / $146.84 / $268.07	Professional		$84.47	$146.84	$268.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $140.21 / $238.19	Facility		$65.33	$140.21	$238.19
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $162.00 / $249.77 / $374.70	Facility	50	$162.00	$249.77	$374.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $400.00	Professional		$145.00	$145.00	$400.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $237.41 / $237.41 / $237.41	Professional	50	$237.41	$237.41	$237.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $8,702.45 / $8,702.45 / $8,702.45	Facility		$8,702.45	$8,702.45	$8,702.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $125.39 / $246.01	Professional		$99.43	$125.39	$246.01
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 $98.78 / $159.16 / $310.92	Professional		$98.78	$159.16	$310.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $247.45 / $336.49 / $12,000.00	Facility		$247.45	$336.49	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,504.73 / $1,504.73	Professional		$1,227.00	$1,504.73	$1,504.73