Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.44 / $42,359.31 / $92,435.38	Facility		$165.44	$42,359.31	$92,435.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.45 / $183.48 / $221.93	Professional		$165.45	$183.48	$221.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.60 / $330.14 / $373.74	Facility		$188.60	$330.14	$373.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.99 / $188.60 / $207.46	Professional		$152.99	$188.60	$207.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $183.48 / $216.06	Facility		$173.09	$183.48	$216.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $217.31	Professional		$183.48	$183.48	$217.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.16 / $165.45 / $236.50	Facility		$125.16	$165.45	$236.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.16 / $224.64 / $261.00	Professional		$125.16	$224.64	$261.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $293.57 / $301.70 / $351.36	Professional		$293.57	$301.70	$351.36
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $194.49 / $238.52	Professional		$183.48	$194.49	$238.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $244.06 / $917.40 / $917.40	Facility		$244.06	$917.40	$917.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,591.34 / $7,591.34 / $7,591.34	Professional		$7,591.34	$7,591.34	$7,591.34