Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.09 / $94,668.76 / $172,161.00	Facility		$221.09	$94,668.76	$172,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.09 / $238.46 / $253.36	Professional		$221.09	$238.46	$253.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.24 / $241.24 / $265.36	Facility		$241.24	$241.24	$265.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.81 / $260.81 / $361.47	Professional		$260.81	$260.81	$361.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Facility		$253.36	$253.36	$253.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $191.18 / $221.09 / $321.44	Facility		$191.18	$221.09	$321.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $191.18 / $191.18 / $361.82	Professional		$191.18	$191.18	$361.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $540.53 / $540.53 / $540.53	Professional		$540.53	$540.53	$540.53
United Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $322.91	Professional		$248.39	$248.39	$322.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $283.17 / $1,240.58 / $1,265.90	Facility		$283.17	$1,240.58	$1,265.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,110.44 / $1,110.44 / $1,284.26	Professional		$1,110.44	$1,110.44	$1,284.26