Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.00 / $1,890.06 / $6,478.00	Facility		$486.00	$1,890.06	$6,478.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $371.95 / $803.41	Professional		$78.73	$371.95	$803.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $530.17 / $1,164.56	Professional		$143.10	$530.17	$1,164.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.74 / $523.48 / $1,014.17	Professional		$112.74	$523.48	$1,014.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.24 / $371.95 / $706.91	Facility		$83.24	$371.95	$706.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $618.54 / $618.54 / $1,140.33	Professional		$618.54	$618.54	$1,140.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $626.10 / $1,047.80	Professional		$3.00	$626.10	$1,047.80
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 $438.95 / $614.53 / $1,186.89	Professional		$438.95	$614.53	$1,186.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $402.90 / $402.90	Facility		$55.00	$402.90	$402.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,317.10 / $2,545.28 / $2,975.78	Professional		$1,317.10	$2,545.28	$2,975.78