Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.12 / $166.02 / $500.26	Facility		$130.12	$166.02	$500.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $130.12 / $351.63	Professional		$128.69	$130.12	$351.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.28 / $186.28 / $186.28	Professional		$186.28	$186.28	$186.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.61 / $166.08 / $3,554.03	Facility		$112.61	$166.08	$3,554.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $374.41 / $815.96	Professional		$164.41	$374.41	$815.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.12 / $406.74 / $841.00	Facility		$130.12	$406.74	$841.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $115.00 / $206.00	Professional		$91.00	$115.00	$206.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.82 / $286.17 / $750.70	Professional		$132.82	$286.17	$750.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,853.39 / $2,853.39 / $2,853.39	Facility		$2,853.39	$2,853.39	$2,853.39
United Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $273.55 / $474.81	Professional		$152.57	$273.55	$474.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $911.68 / $1,343.57 / $1,343.57	Facility		$911.68	$1,343.57	$1,343.57
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,960.00 / $3,960.00 / $3,960.00	Professional		$3,960.00	$3,960.00	$3,960.00