Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.26 / $1,275.01 / $8,572.40	Facility		$165.26	$1,275.01	$8,572.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.26 / $338.78 / $802.25	Professional		$165.26	$338.78	$802.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $1,368.17 / $2,232.96	Professional		$296.27	$1,368.17	$2,232.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.31 / $594.27 / $1,591.87	Professional		$225.31	$594.27	$1,591.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.26 / $558.69 / $1,153.10	Facility		$165.26	$558.69	$1,153.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,153.10 / $1,153.10 / $1,153.10	Professional		$1,153.10	$1,153.10	$1,153.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $238.36 / $297.82 / $991.22	Professional		$238.36	$297.82	$991.22
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $740.92 / $1,159.84 / $1,878.95	Professional		$740.92	$1,159.84	$1,878.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,086.28 / $1,086.28	Facility		$55.00	$1,086.28	$1,086.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,205.75 / $4,153.20 / $4,913.93	Professional		$2,205.75	$4,153.20	$4,913.93