Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $17,389.41 / $17,389.41	Facility		$165.83	$17,389.41	$17,389.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.77 / $165.83 / $165.83	Professional		$116.77	$165.83	$165.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $120.86 / $132.94	Professional		$112.19	$120.86	$132.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $165.83 / $248.75	Facility		$165.83	$165.83	$248.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $413.70 / $413.70 / $413.70	Professional		$413.70	$413.70	$413.70
United Facility/Professional Facility Modifier Low / Median / High Price $287.13 / $418.30 / $565.74	Facility		$287.13	$418.30	$565.74
United Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $438.77	Professional		$342.87	$342.87	$438.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $484.69 / $681.16 / $1,535.21	Facility		$484.69	$681.16	$1,535.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,667.93 / $1,978.96 / $1,978.96	Professional		$1,667.93	$1,978.96	$1,978.96