Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.13 / $1,750.16 / $24,931.80	Facility		$62.13	$1,750.16	$24,931.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $79.00 / $94.94	Professional		$66.91	$79.00	$94.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.22 / $132.63 / $194.82	Facility		$98.22	$132.63	$194.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.29 / $82.90 / $102.60	Professional		$64.29	$82.90	$102.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $79.00 / $89.80	Facility		$74.52	$79.00	$89.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $108.00	Professional		$79.00	$79.00	$108.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.24 / $66.95 / $113.69	Facility		$54.24	$66.95	$113.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $99.73 / $109.00	Professional		$54.24	$99.73	$109.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $129.90 / $151.28	Professional		$118.60	$129.90	$151.28
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $83.74 / $94.80	Professional		$79.00	$83.74	$94.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $105.09 / $395.00 / $395.00	Facility		$105.09	$395.00	$395.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,210.38 / $6,210.38 / $6,210.38	Professional		$6,210.38	$6,210.38	$6,210.38