Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $126.61 / $5,449.00	Facility		$48.33	$126.61	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.33 / $71.77 / $121.85	Professional		$48.33	$71.77	$121.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $139.16 / $209.81	Professional		$80.84	$139.16	$209.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $103.18 / $180.11	Professional		$64.84	$103.18	$180.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $82.16 / $122.01	Facility		$48.33	$82.16	$122.01
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $127.68 / $171.69 / $226.88	Facility	50	$127.68	$171.69	$226.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $104.00 / $114.46	Professional		$91.00	$104.00	$114.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $84.71 / $125.04	Professional		$69.25	$84.71	$125.04
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 $64.75 / $114.81 / $188.93	Professional		$64.75	$114.81	$188.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $230.47 / $230.47	Facility		$55.00	$230.47	$230.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $354.32 / $387.08 / $824.00	Professional		$354.32	$387.08	$824.00