Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.54 / $1,615.00 / $6,953.60	Facility		$94.54	$1,615.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $137.13 / $212.20	Professional		$68.08	$137.13	$212.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $237.35 / $437.94	Professional		$106.72	$237.35	$437.94
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 $91.55 / $167.51 / $303.06	Professional		$91.55	$167.51	$303.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.08 / $147.31 / $206.67	Facility		$68.08	$147.31	$206.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $172.00 / $206.67	Professional		$162.00	$172.00	$206.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $115.48 / $234.27	Professional		$92.04	$115.48	$234.27
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 $119.33 / $197.39 / $329.45	Professional		$119.33	$197.39	$329.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $287.47 / $287.47	Facility		$55.00	$287.47	$287.47
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $524.52 / $524.52 / $1,236.00	Professional		$524.52	$524.52	$1,236.00