Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.28 / $264.43 / $5,449.00	Facility		$130.28	$264.43	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $176.53 / $328.78	Professional		$130.28	$176.53	$328.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.74 / $121.74 / $123.52	Facility		$121.74	$121.74	$123.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.73 / $316.20 / $454.45	Professional		$181.73	$316.20	$454.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.56 / $156.56 / $606.10	Facility		$156.56	$156.56	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.96 / $235.70 / $423.35	Professional		$162.96	$235.70	$423.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.28 / $203.01 / $307.45	Facility		$130.28	$203.01	$307.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $219.00 / $232.99	Professional		$219.00	$219.00	$232.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.92 / $205.87 / $284.17	Professional		$119.92	$205.87	$284.17
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 $155.66 / $234.77 / $469.52	Professional		$155.66	$234.77	$469.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $640.11 / $640.11	Facility		$55.00	$640.11	$640.11
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $932.32 / $1,142.33 / $1,563.83	Professional		$932.32	$1,142.33	$1,563.83