Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $162.18	Professional		$93.33	$123.03	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $323.59 / $436.52	Facility		$204.17	$323.59	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $177.83	Professional		$162.18	$165.96	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $251.19	Professional		$144.54	$144.54	$251.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $162.18 / $302.00	Facility		$93.33	$162.18	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $144.54 / $173.78	Facility		$79.43	$144.54	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $154.88	Professional		$89.13	$109.65	$154.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $1,584.89	Professional		$1,096.48	$1,584.89	$1,584.89