Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $166.35 / $12,423.36	Facility		$89.18	$166.35	$12,423.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $100.09 / $120.81	Professional		$89.18	$100.09	$120.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.65 / $195.39 / $206.27	Facility		$111.65	$195.39	$206.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $105.97 / $119.36	Professional		$85.19	$105.97	$119.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.42 / $100.09 / $116.34	Facility		$94.42	$100.09	$116.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $125.64	Professional		$100.09	$100.09	$125.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.37 / $89.18 / $132.88	Facility		$79.37	$89.18	$132.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $131.00 / $141.00	Professional		$79.37	$131.00	$141.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $164.58 / $191.67	Professional		$160.13	$164.58	$191.67
United Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $106.10 / $120.54	Professional		$100.09	$106.10	$120.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $133.13 / $500.45 / $500.45	Facility		$133.13	$500.45	$500.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $428.03 / $428.03 / $428.03	Professional		$428.03	$428.03	$428.03