Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.27 / $242.66 / $5,449.00	Facility		$126.27	$242.66	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $156.78 / $251.16	Professional		$117.37	$156.78	$251.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $213.90 / $372.55	Professional		$138.74	$213.90	$372.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.40 / $185.89 / $398.54	Professional		$127.40	$185.89	$398.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.27 / $177.77 / $476.00	Facility		$126.27	$177.77	$476.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $200.00 / $200.00	Professional		$192.63	$200.00	$200.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.77 / $187.96 / $231.50	Professional		$144.77	$187.96	$231.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.10 / $169.30 / $424.18	Professional		$128.10	$169.30	$424.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $897.84 / $9,102.00 / $11,500.00	Facility		$897.84	$9,102.00	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $955.76 / $1,352.63 / $2,278.08	Professional		$955.76	$1,352.63	$2,278.08