Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.31 / $1,224.58 / $6,953.60	Facility		$205.31	$1,224.58	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.31 / $217.38 / $350.28	Professional		$205.31	$217.38	$350.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.23 / $356.02 / $560.03	Professional		$254.23	$356.02	$560.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.58 / $325.48 / $524.52	Professional		$222.58	$325.48	$524.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $250.77 / $515.14	Facility		$186.00	$250.77	$515.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $506.49	Professional		$248.39	$248.39	$506.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $223.00 / $556.60	Professional		$5.00	$223.00	$556.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,456.00 / $6,543.00	Facility		$1,728.00	$3,456.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.21 / $263.08 / $658.72	Professional		$196.21	$263.08	$658.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,139.40 / $7,909.30 / $12,000.00	Facility		$1,139.40	$7,909.30	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,880.00 / $1,880.00 / $1,880.00	Professional		$1,880.00	$1,880.00	$1,880.00