Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $4,168.69 / $8,709.64	Facility		$147.91	$4,168.69	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $234.42	Professional		$87.10	$141.25	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $602.56	Professional		$125.89	$269.15	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $190.55 / $275.42	Facility		$95.50	$190.55	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $281.84 / $537.03	Professional		$138.04	$281.84	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $812.83 / $1,949.84	Facility		$363.08	$812.83	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $446.68	Professional		$109.65	$223.87	$446.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,445.44	Professional		$1,288.25	$1,445.44	$1,445.44