Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $263.03 / $616.60	Facility		$131.83	$263.03	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $524.81	Professional		$123.03	$147.91	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $263.03 / $3,548.13	Facility		$144.54	$263.03	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $346.74 / $758.58	Professional		$151.36	$346.74	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $251.19 / $724.44	Facility		$131.83	$251.19	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $1,000.00	Professional		$263.03	$407.38	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $630.96 / $2,884.03	Facility		$67.61	$630.96	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $537.03	Professional		$158.49	$263.03	$537.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28