Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.79 / $1,995.00 / $4,491.20	Facility		$132.79	$1,995.00	$4,491.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $138.74 / $145.68	Professional		$132.79	$138.74	$145.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.40 / $117.06 / $276.10	Facility		$109.40	$117.06	$276.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $96.38 / $106.02	Professional		$89.46	$96.38	$106.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $138.74 / $138.74	Facility		$130.88	$138.74	$138.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $282.63	Professional		$138.74	$138.74	$282.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.79 / $167.68 / $310.89	Facility		$132.79	$167.68	$310.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $167.68 / $173.94	Professional		$167.68	$167.68	$173.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $191.50 / $191.50 / $301.60	Professional		$191.50	$191.50	$301.60
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $180.36	Professional		$138.74	$138.74	$180.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $240.24 / $403.13 / $612.61	Facility		$240.24	$403.13	$612.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,448.75 / $1,448.75 / $1,448.75	Professional		$1,448.75	$1,448.75	$1,448.75