Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.50 / $463.81 / $5,449.00	Facility		$202.50	$463.81	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.89 / $272.58 / $482.31	Professional		$184.89	$272.58	$482.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.39 / $278.23 / $593.57	Professional		$203.39	$278.23	$593.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.43 / $299.39 / $621.34	Professional		$205.43	$299.39	$621.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $202.50 / $298.52 / $434.82	Facility		$202.50	$298.52	$434.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $356.45 / $356.45 / $356.45	Professional		$356.45	$356.45	$356.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $168.84 / $283.27 / $462.98	Professional		$168.84	$283.27	$462.98
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,193.00 / $3,348.00	Facility		$905.00	$2,193.00	$3,348.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.13 / $291.38 / $656.24	Professional		$232.13	$291.38	$656.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,435.44 / $1,435.44 / $11,500.00	Facility		$1,435.44	$1,435.44	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,520.64 / $2,138.56 / $2,486.03	Professional		$1,520.64	$2,138.56	$2,486.03