Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $17,378.01 / $17,378.01	Facility		$165.96	$17,378.01	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $169.82	Professional		$100.00	$134.90	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $251.19	Facility		$125.89	$125.89	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $120.23	Professional		$89.13	$89.13	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $302.00 / $302.00	Professional		$147.91	$302.00	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $165.96 / $234.42	Facility		$117.49	$165.96	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $194.98 / $245.47	Professional		$0.60	$194.98	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $288.40 / $323.59	Facility		$173.78	$288.40	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $173.78	Professional		$125.89	$125.89	$173.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $1,995.26	Professional		$1,659.59	$1,995.26	$1,995.26