Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.62 / $12,071.15 / $24,943.75	Facility		$134.62	$12,071.15	$24,943.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $173.03 / $208.79	Professional		$142.41	$173.03	$208.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.89 / $246.25 / $417.04	Facility		$172.89	$246.25	$417.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $177.43 / $206.53	Professional		$115.10	$177.43	$206.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $173.03 / $331.25	Facility		$163.24	$173.03	$331.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $217.40	Professional		$173.03	$173.03	$217.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $142.41 / $239.14	Facility		$86.99	$142.41	$239.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $186.08 / $240.00	Professional		$86.99	$186.08	$240.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.30 / $284.52 / $331.35	Professional		$241.30	$284.52	$331.35
United Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Facility		$173.03	$173.03	$173.03
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $183.41 / $207.64	Professional		$173.03	$183.41	$207.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $230.17 / $865.15 / $865.15	Facility		$230.17	$865.15	$865.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,975.90 / $2,975.90 / $2,975.90	Professional		$2,975.90	$2,975.90	$2,975.90