Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.49 / $6,030.94 / $15,637.33	Facility		$92.49	$6,030.94	$15,637.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $48.02 / $4,012.80	Professional		$25.93	$48.02	$4,012.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.63 / $65.11 / $104.07	Facility		$41.63	$65.11	$104.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $42.03 / $77.50	Professional		$42.03	$42.03	$77.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.63 / $47.55 / $69.34	Facility		$41.63	$47.55	$69.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $63.22	Professional		$47.55	$47.55	$63.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.93 / $90.67 / $119.69	Facility		$25.93	$90.67	$119.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $90.67 / $142.35	Professional		$30.90	$90.67	$142.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $78.20 / $91.05	Professional		$76.08	$78.20	$91.05
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $50.40 / $57.26	Professional		$47.55	$50.40	$57.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $105.64 / $393.60 / $393.60	Facility		$105.64	$393.60	$393.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $160.44 / $163.32	Professional		$160.44	$160.44	$163.32