Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.25 / $348.69 / $4,311.00	Facility		$150.25	$348.69	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.11 / $215.12 / $356.14	Professional		$128.11	$215.12	$356.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.96 / $310.99 / $578.29	Professional		$188.96	$310.99	$578.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.32 / $288.58 / $479.88	Professional		$152.32	$288.58	$479.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.25 / $219.00 / $422.22	Facility		$150.25	$219.00	$422.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $265.26 / $265.26 / $543.00	Professional		$265.26	$265.26	$543.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $170.90 / $602.50	Professional		$5.00	$170.90	$602.50
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 $209.34 / $280.85 / $612.65	Professional		$209.34	$280.85	$612.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,029.83 / $1,029.83 / $12,000.00	Facility		$1,029.83	$1,029.83	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,080.96 / $1,562.88 / $1,838.25	Professional		$1,080.96	$1,562.88	$1,838.25