Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.74 / $1,263.70 / $7,968.00	Facility		$123.74	$1,263.70	$7,968.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $640.46 / $825.74	Professional		$123.74	$640.46	$825.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.81 / $1,349.79 / $2,121.62	Professional		$222.81	$1,349.79	$2,121.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.20 / $907.21 / $1,807.09	Professional		$173.20	$907.21	$1,807.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.74 / $643.04 / $1,242.11	Facility		$123.74	$643.04	$1,242.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,141.41 / $1,141.41 / $1,942.64	Professional		$1,141.41	$1,141.41	$1,942.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,162.20 / $1,819.50	Professional		$3.00	$1,162.20	$1,819.50
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 $746.82 / $1,045.55 / $1,845.60	Professional		$746.82	$1,045.55	$1,845.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $602.21 / $602.21	Facility		$55.00	$602.21	$602.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,261.73 / $4,380.80 / $5,126.03	Professional		$2,261.73	$4,380.80	$5,126.03