Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.93 / $943.50 / $1,267.06	Facility		$143.93	$943.50	$1,267.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $132.06 / $249.30	Professional		$70.84	$132.06	$249.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.43 / $155.43 / $155.43	Professional	50	$155.43	$155.43	$155.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $228.21 / $348.15	Professional		$97.00	$228.21	$348.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $820.28	Facility		$395.75	$395.75	$820.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.65 / $169.81 / $304.33	Professional		$81.65	$169.81	$304.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.88 / $167.76 / $254.54	Facility		$74.88	$167.76	$254.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $156.00 / $400.00	Professional		$156.00	$156.00	$400.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $251.64 / $251.64 / $251.64	Professional	50	$251.64	$251.64	$251.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.66 / $137.79 / $243.68	Professional		$109.66	$137.79	$243.68
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 $120.53 / $177.62 / $335.06	Professional		$120.53	$177.62	$335.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $250.29 / $382.33 / $12,000.00	Facility		$250.29	$382.33	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,139.00 / $2,139.00 / $2,139.00	Professional		$2,139.00	$2,139.00	$2,139.00