Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.51 / $402.23 / $2,113.94	Facility		$186.51	$402.23	$2,113.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $113.43 / $273.23	Professional		$95.90	$113.43	$273.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.15 / $167.76 / $312.89	Facility		$114.15	$167.76	$312.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.15 / $125.57 / $1,181.28	Professional		$114.15	$125.57	$1,181.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $95.90 / $267.25	Facility		$90.47	$95.90	$267.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $240.00	Professional		$95.90	$95.90	$240.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $381.99 / $1,550.90	Facility		$168.00	$381.99	$1,550.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $293.00 / $1,748.00	Professional		$180.00	$293.00	$1,748.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $153.44 / $365.30	Professional		$142.97	$153.44	$365.30
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $101.65 / $166.53	Professional		$95.90	$101.65	$166.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,971.72 / $2,009.53 / $2,247.46	Facility		$1,971.72	$2,009.53	$2,247.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,879.42 / $5,879.42 / $5,879.42	Professional		$5,879.42	$5,879.42	$5,879.42