Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $115.56 / $5,449.00	Facility		$39.54	$115.56	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $86.11 / $173.31	Professional		$36.32	$86.11	$173.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.22 / $113.22 / $114.87	Facility		$113.22	$113.22	$114.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $82.52 / $219.04	Professional		$51.26	$82.52	$219.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.49 / $100.49 / $606.10	Facility		$100.49	$100.49	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $83.44 / $182.14	Professional		$46.90	$83.44	$182.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $86.11 / $125.27	Facility		$39.54	$86.11	$125.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $84.45 / $96.00 / $112.00	Professional		$84.45	$96.00	$112.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $116.10 / $301.60	Professional		$116.10	$116.10	$301.60
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 $58.11 / $89.81 / $202.90	Professional		$58.11	$89.81	$202.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $198.17 / $198.17	Facility		$55.00	$198.17	$198.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $335.85 / $628.08 / $741.08	Professional		$335.85	$628.08	$741.08