Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.24 / $202.29 / $5,449.00	Facility		$42.24	$202.29	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $82.28 / $169.25	Professional		$42.24	$82.28	$169.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.79 / $178.34 / $352.37	Professional		$82.79	$178.34	$352.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.27 / $83.27 / $395.75	Facility		$83.27	$83.27	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $136.77 / $255.90	Professional		$62.11	$136.77	$255.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.51 / $122.29 / $238.00	Facility		$43.51	$122.29	$238.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $167.00 / $175.10	Professional		$102.00	$167.00	$175.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $76.48 / $125.05	Professional		$60.04	$76.48	$125.05
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 $65.75 / $145.08 / $258.29	Professional		$65.75	$145.08	$258.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $299.70 / $299.70	Facility		$55.00	$299.70	$299.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $1,017.00 / $1,026.19	Professional		$1,017.00	$1,017.00	$1,026.19