Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.87 / $6,103.55 / $6,915.00	Facility		$241.87	$6,103.55	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.61 / $194.84 / $387.53	Professional		$138.61	$194.84	$387.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.80 / $369.29 / $533.25	Professional		$226.80	$369.29	$533.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $2,062.80	Facility		$530.04	$530.04	$2,062.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.78 / $288.35 / $440.61	Professional		$167.78	$288.35	$440.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.61 / $279.45 / $392.52	Facility		$138.61	$279.45	$392.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $192.00 / $600.00	Professional		$180.00	$192.00	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $202.76 / $587.60	Professional		$6.00	$202.76	$587.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.15 / $240.10 / $430.04	Professional		$129.15	$240.10	$430.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $900.97 / $6,817.20 / $16,394.00	Facility		$900.97	$6,817.20	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,263.08 / $1,743.17 / $1,743.17	Professional		$1,263.08	$1,743.17	$1,743.17