Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.08 / $9,797.03 / $22,205.60	Facility		$75.08	$9,797.03	$22,205.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $56.20 / $76.42	Professional		$44.76	$56.20	$76.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.70 / $84.04 / $112.26	Facility		$55.70	$84.04	$112.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $57.17 / $67.20	Professional		$35.40	$57.17	$67.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $55.65 / $85.00	Facility		$52.50	$55.65	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $70.73	Professional		$55.65	$55.65	$70.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $44.76 / $77.81	Facility		$29.29	$44.76	$77.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $58.94 / $75.00	Professional		$29.29	$58.94	$75.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $91.44 / $106.56	Professional		$76.09	$91.44	$106.56
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $58.99 / $66.78	Professional		$55.65	$58.99	$66.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $278.25	Facility		$75.00	$100.00	$278.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,122.62 / $2,122.62 / $2,122.62	Professional		$2,122.62	$2,122.62	$2,122.62