Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.09 / $864.50 / $4,332.85	Facility		$127.09	$864.50	$4,332.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $127.09	Professional		$45.89	$127.09	$127.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $1,548.97 / $1,548.97	Professional		$60.00	$1,548.97	$1,548.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $638.03	Facility		$395.75	$395.75	$638.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $152.51	Facility		$45.89	$127.09	$152.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $378.00 / $400.00	Professional		$378.00	$378.00	$400.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $986.13 / $986.13 / $986.13	Facility		$986.13	$986.13	$986.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,001.59 / $2,001.59 / $2,002.17	Professional		$2,001.59	$2,001.59	$2,002.17
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00