Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.71 / $1,338.00 / $8,413.00	Facility		$206.71	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.71 / $206.71 / $358.04	Professional		$206.71	$206.71	$358.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.44 / $497.45 / $584.96	Professional		$280.44	$497.45	$584.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.72 / $358.52 / $573.16	Professional		$262.72	$358.52	$573.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.71 / $307.00 / $554.75	Facility		$206.71	$307.00	$554.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $279.51 / $279.51 / $279.51	Professional		$279.51	$279.51	$279.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $391.20 / $391.20 / $391.20	Professional		$391.20	$391.20	$391.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,257.00	Facility		$3,366.00	$9,541.00	$14,257.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.13 / $304.56 / $619.14	Professional		$210.13	$304.56	$619.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,222.27 / $11,472.55 / $26,542.00	Facility		$1,222.27	$11,472.55	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,955.47 / $2,955.47 / $2,955.47	Professional		$2,955.47	$2,955.47	$2,955.47