Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $2,286.15 / $5,599.06	Facility		$163.28	$2,286.15	$5,599.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $108.47 / $163.28	Professional		$78.06	$108.47	$163.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.41 / $162.18 / $316.52	Facility		$113.41	$162.18	$316.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.32 / $121.35 / $379.71	Professional		$110.32	$121.35	$379.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $108.47 / $163.28	Facility		$102.33	$108.47	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $192.09	Professional		$108.47	$108.47	$192.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $351.66 / $545.44	Facility		$78.06	$351.66	$545.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.01 / $404.21 / $719.00	Professional		$169.01	$404.21	$719.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.03 / $174.50 / $371.00	Professional		$171.03	$174.50	$371.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $114.98 / $135.59	Professional		$108.47	$114.98	$135.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $581.41 / $1,578.65 / $1,578.65	Facility		$581.41	$1,578.65	$1,578.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,698.40 / $1,698.40 / $1,698.40	Professional		$1,698.40	$1,698.40	$1,698.40