Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $537.03 / $3,388.44	Facility		$141.25	$537.03	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $489.78	Professional		$120.23	$162.18	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $263.03 / $3,548.13	Facility		$147.91	$263.03	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $338.84 / $758.58	Professional		$147.91	$338.84	$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 $141.25 / $257.04 / $676.08	Facility		$141.25	$257.04	$676.08
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 $257.04 / $380.19 / $1,000.00	Professional		$257.04	$380.19	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $645.65 / $2,398.83	Facility		$69.18	$645.65	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $524.81	Professional		$158.49	$257.04	$524.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
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