Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $100.00 / $12,022.64	Facility		$72.44	$100.00	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $109.65	Professional		$72.44	$85.11	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $158.49 / $169.82	Facility		$102.33	$158.49	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $89.13 / $97.72	Professional		$87.10	$89.13	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $120.23	Facility		$85.11	$85.11	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $104.71	Professional		$85.11	$85.11	$104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $85.11 / $128.82	Facility		$72.44	$85.11	$128.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $114.82 / $131.83	Professional		$0.60	$114.82	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $128.82 / $144.54	Facility		$81.28	$128.82	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $93.33	Professional		$81.28	$89.13	$93.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74