Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $140.62 / $1,615.00	Facility		$65.81	$140.62	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.29 / $169.24 / $335.85	Professional		$64.29	$169.24	$335.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.84 / $114.60 / $141.13	Facility		$87.84	$114.60	$141.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.68 / $236.26 / $446.90	Professional		$112.68	$236.26	$446.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $107.24 / $107.24	Facility		$107.24	$107.24	$107.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $181.98 / $424.16	Professional		$74.62	$181.98	$424.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $187.20 / $318.24	Facility		$66.84	$187.20	$318.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $235.00 / $277.00	Professional		$210.00	$235.00	$277.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $219.00 / $380.90	Professional		$88.54	$219.00	$380.90
United Facility/Professional Professional Modifier Low / Median / High Price $158.58 / $227.97 / $466.40	Professional		$158.58	$227.97	$466.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $363.26 / $363.26 / $363.26	Facility		$363.26	$363.26	$363.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $737.63 / $1,237.14 / $1,666.43	Professional		$737.63	$1,237.14	$1,666.43