Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.54 / $1,251.06 / $6,915.00	Facility		$242.54	$1,251.06	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $585.92 / $1,172.80	Professional		$132.44	$585.92	$1,172.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.20 / $814.22 / $1,709.86	Professional		$169.20	$814.22	$1,709.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.89 / $515.41 / $1,366.00	Professional		$176.89	$515.41	$1,366.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.44 / $645.30 / $1,036.28	Facility		$132.44	$645.30	$1,036.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,036.28 / $1,036.28 / $1,036.28	Professional		$1,036.28	$1,036.28	$1,036.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $236.79 / $976.26	Professional		$112.88	$236.79	$976.26
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.12 / $740.68 / $1,621.04	Professional		$506.12	$740.68	$1,621.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,213.92 / $1,213.92	Facility		$55.00	$1,213.92	$1,213.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,307.77 / $4,450.88 / $5,217.14	Professional		$2,307.77	$4,450.88	$5,217.14