Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.08 / $903.00 / $5,449.00	Facility		$95.08	$903.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.92 / $235.33 / $577.36	Professional		$87.92	$235.33	$577.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $443.12 / $1,374.35	Professional		$150.41	$443.12	$1,374.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.44 / $302.20 / $790.12	Professional		$117.44	$302.20	$790.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.92 / $235.33 / $739.63	Facility		$87.92	$235.33	$739.63
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $261.70 / $1,109.45 / $1,109.45	Facility	50	$261.70	$1,109.45	$1,109.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $551.19 / $551.19 / $739.63	Professional		$551.19	$551.19	$739.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $266.60 / $1,284.70	Professional		$4.00	$266.60	$1,284.70
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $528.53 / $828.30	Professional		$215.87	$528.53	$828.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $495.50 / $495.50	Facility		$55.00	$495.50	$495.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,688.45 / $1,688.45 / $2,506.13	Professional		$1,688.45	$1,688.45	$2,506.13