Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,659.59 / $8,128.31	Facility		$245.47	$1,659.59	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $416.87	Professional		$128.82	$151.36	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $436.52	Professional		$177.83	$354.81	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $457.09	Professional		$162.18	$302.00	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $549.54	Professional		$457.09	$457.09	$549.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $186.21 / $389.05	Facility		$144.54	$186.21	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $239.88	Professional		$213.80	$213.80	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $758.58 / $1,949.84	Facility		$302.00	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $371.54	Professional		$128.82	$199.53	$371.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $28,840.32	Facility		$1,995.26	$1,995.26	$28,840.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83