Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $397.09 / $4,951.00	Facility		$55.10	$397.09	$4,951.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $110.65 / $190.15	Professional		$55.10	$110.65	$190.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.07 / $191.06 / $394.84	Professional		$92.07	$191.06	$394.84
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 $73.95 / $136.41 / $258.55	Professional		$73.95	$136.41	$258.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $121.72 / $167.97	Facility		$55.10	$121.72	$167.97
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $158.76 / $251.96 / $332.94	Facility	50	$158.76	$251.96	$332.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $150.00 / $167.97	Professional		$140.00	$150.00	$167.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $99.67 / $195.54	Professional		$77.16	$99.67	$195.54
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 $99.53 / $166.10 / $263.67	Professional		$99.53	$166.10	$263.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $248.57 / $248.57	Facility		$55.00	$248.57	$248.57
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $418.32 / $420.90 / $904.65	Professional		$418.32	$420.90	$904.65