Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.44 / $790.80 / $3,707.00	Facility		$92.44	$790.80	$3,707.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $94.18 / $162.47	Professional		$58.59	$94.18	$162.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.89 / $269.20 / $414.66	Professional	50	$87.89	$269.20	$414.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.23 / $161.06 / $240.24	Professional		$89.23	$161.06	$240.24
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 $75.98 / $121.68 / $206.14	Professional		$75.98	$121.68	$206.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $109.82 / $161.44	Facility		$59.00	$109.82	$161.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $116.00 / $125.00	Professional		$116.00	$116.00	$125.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $182.28 / $182.28 / $182.28	Professional	50	$182.28	$182.28	$182.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $127.30 / $162.74	Professional		$82.75	$127.30	$162.74
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 $84.06 / $131.88 / $231.88	Professional		$84.06	$131.88	$231.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $291.98 / $291.98	Facility		$55.00	$291.98	$291.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $575.00 / $2,500.00	Professional		$575.00	$575.00	$2,500.00