Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.25 / $1,338.00 / $8,413.00	Facility		$131.25	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.25 / $131.25 / $228.07	Professional		$131.25	$131.25	$228.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.33 / $285.47 / $384.98	Professional		$189.33	$285.47	$384.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.03 / $237.72 / $389.02	Professional		$172.03	$237.72	$389.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.25 / $197.08 / $365.50	Facility		$131.25	$197.08	$365.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $197.08 / $197.08 / $197.08	Professional		$197.08	$197.08	$197.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $265.30 / $265.30 / $265.30	Professional		$265.30	$265.30	$265.30
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 $135.08 / $209.20 / $515.33	Professional		$135.08	$209.20	$515.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $866.18 / $17,070.15 / $26,542.00	Facility		$866.18	$17,070.15	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,068.84 / $2,068.84 / $2,068.84	Professional		$2,068.84	$2,068.84	$2,068.84