Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $150.29 / $1,747.01	Facility		$120.36	$150.29	$1,747.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $120.36 / $141.04	Professional		$117.53	$120.36	$141.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $123.90 / $123.90	Professional		$123.90	$123.90	$123.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $141.60	Professional		$120.36	$120.36	$141.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $127.58 / $155.76	Facility		$120.36	$127.58	$155.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.53 / $132.53 / $132.53	Professional		$132.53	$132.53	$132.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,850.00 / $3,850.00 / $3,850.00	Facility		$3,850.00	$3,850.00	$3,850.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $153.40	Professional		$118.00	$118.00	$153.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $139.50 / $139.50 / $521.65	Facility		$139.50	$139.50	$521.65