Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.09 / $514.48 / $5,449.00	Facility		$133.09	$514.48	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $364.00 / $497.64	Professional		$133.09	$364.00	$497.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.21 / $357.83 / $790.21	Professional		$201.21	$357.83	$790.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $326.22 / $768.33	Professional		$167.72	$326.22	$768.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.09 / $331.88 / $618.79	Facility		$133.09	$331.88	$618.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.88 / $331.88 / $881.95	Professional		$331.88	$331.88	$881.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $341.10 / $1,008.80	Professional		$5.00	$341.10	$1,008.80
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.72 / $381.33 / $922.40	Professional		$269.72	$381.33	$922.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $894.84 / $894.84 / $12,000.00	Facility		$894.84	$894.84	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,431.36 / $2,692.08 / $3,181.88	Professional		$1,431.36	$2,692.08	$3,181.88