Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.51 / $88.45 / $5,449.00	Facility		$50.51	$88.45	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $57.89 / $101.68	Professional		$50.51	$57.89	$101.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $127.73 / $184.40	Professional		$85.57	$127.73	$184.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $86.37 / $86.37	Facility		$86.37	$86.37	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $93.41 / $169.42	Professional		$59.05	$93.41	$169.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $88.15 / $731.00	Facility		$53.54	$88.15	$731.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $77.00 / $213.04	Professional		$76.31	$77.00	$213.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $79.80 / $468.30	Professional		$27.40	$79.80	$468.30
United Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $874.00 / $2,074.00	Facility		$116.00	$874.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $84.17 / $170.78	Professional		$57.92	$84.17	$170.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $714.13 / $714.13	Facility		$55.00	$714.13	$714.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $817.17 / $1,826.96 / $3,583.09	Professional		$817.17	$1,826.96	$3,583.09