Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $129.52 / $5,449.00	Facility		$65.31	$129.52	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $88.11 / $151.01	Professional		$65.31	$88.11	$151.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $135.60 / $222.76	Professional		$88.34	$135.60	$222.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.83 / $78.83 / $606.10	Facility		$78.83	$78.83	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.53 / $116.70 / $211.17	Professional		$82.53	$116.70	$211.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $105.73 / $154.13	Facility		$65.31	$105.73	$154.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $106.00 / $118.00	Professional		$106.00	$106.00	$118.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $163.58 / $163.58 / $163.58	Professional	50	$163.58	$163.58	$163.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.50 / $119.40 / $144.19	Professional		$96.50	$119.40	$144.19
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 $74.25 / $112.49 / $212.78	Professional		$74.25	$112.49	$212.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $337.77 / $337.77	Facility		$55.00	$337.77	$337.77
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $500.24 / $669.60 / $759.68	Professional		$500.24	$669.60	$759.68