Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $1,245.00 / $6,953.60	Facility		$307.55	$1,245.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $516.57	Professional		$307.55	$307.55	$516.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.99 / $527.28 / $818.83	Professional		$386.99	$527.28	$818.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.18 / $455.53 / $847.61	Professional		$313.18	$455.53	$847.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $369.35 / $772.61	Facility		$307.55	$369.35	$772.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Professional		$360.00	$360.00	$360.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $361.20 / $361.20 / $361.20	Professional		$361.20	$361.20	$361.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.68 / $374.27 / $839.83	Professional		$281.68	$374.27	$839.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,728.64 / $11,082.10 / $12,000.00	Facility		$4,728.64	$11,082.10	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,255.76 / $2,255.76 / $2,738.48	Professional		$2,255.76	$2,255.76	$2,738.48