Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.61 / $1,338.00 / $8,413.00	Facility		$119.61	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $146.78 / $253.48	Professional		$119.61	$146.78	$253.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.41 / $266.39 / $396.44	Professional		$197.41	$266.39	$396.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.69 / $230.85 / $352.49	Professional		$172.69	$230.85	$352.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.61 / $237.43 / $352.78	Facility		$119.61	$237.43	$352.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $207.76 / $207.76	Professional		$207.76	$207.76	$207.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $236.10 / $236.10 / $236.10	Professional		$236.10	$236.10	$236.10
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $14,893.00 / $22,265.00	Facility		$6,688.00	$14,893.00	$22,265.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $193.51 / $337.03	Professional		$128.12	$193.51	$337.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $764.82 / $17,070.15 / $26,542.00	Facility		$764.82	$17,070.15	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,256.50 / $1,256.50 / $1,442.43	Professional		$1,256.50	$1,256.50	$1,442.43