Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.17 / $460.75 / $7,968.00	Facility		$124.17	$460.75	$7,968.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.17 / $300.80 / $390.80	Professional		$124.17	$300.80	$390.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.72 / $344.91 / $761.95	Professional		$176.72	$344.91	$761.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.31 / $280.20 / $648.42	Professional		$145.31	$280.20	$648.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.17 / $300.80 / $541.73	Facility		$124.17	$300.80	$541.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $765.45	Professional		$346.11	$346.11	$765.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $208.10 / $842.60	Professional		$5.00	$208.10	$842.60
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 $257.05 / $359.43 / $853.79	Professional		$257.05	$359.43	$853.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $888.72 / $888.72 / $26,542.00	Facility		$888.72	$888.72	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,575.00 / $2,133.04 / $2,507.55	Professional		$1,575.00	$2,133.04	$2,507.55