Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $1,350.00 / $5,449.00	Facility		$79.09	$1,350.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $136.16 / $245.81	Professional		$65.48	$136.16	$245.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.58 / $168.05 / $354.70	Professional		$99.58	$168.05	$354.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.16 / $154.52 / $299.88	Professional		$82.16	$154.52	$299.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $139.02 / $263.08	Facility		$65.48	$139.02	$263.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.33 / $166.33 / $353.13	Professional		$166.33	$166.33	$353.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $116.30 / $385.40	Professional		$4.00	$116.30	$385.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.87 / $188.91 / $395.28	Professional		$127.87	$188.91	$395.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $394.75 / $394.75	Facility		$55.00	$394.75	$394.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $610.00 / $996.80 / $1,169.18	Professional		$610.00	$996.80	$1,169.18