Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.35 / $289.00 / $7,439.00	Facility		$179.35	$289.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.35 / $179.35 / $289.00	Professional		$179.35	$179.35	$289.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.63 / $504.79 / $815.74	Professional		$363.63	$504.79	$815.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.98 / $323.08 / $529.46	Professional		$238.98	$323.08	$529.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.97 / $274.18 / $374.84	Facility		$168.97	$274.18	$374.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $274.18 / $274.18 / $274.18	Professional		$274.18	$274.18	$274.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.23 / $214.38 / $277.14	Professional		$198.23	$214.38	$277.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.23 / $279.44 / $502.20	Professional		$184.23	$279.44	$502.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,505.16 / $1,813.50	Facility		$55.00	$1,505.16	$1,813.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,267.59 / $1,537.80 / $1,537.80	Professional		$1,267.59	$1,537.80	$1,537.80