Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.32 / $532.79 / $8,413.00	Facility		$249.32	$532.79	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.32 / $348.23 / $508.22	Professional		$249.32	$348.23	$508.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.10 / $549.41 / $894.63	Professional		$235.10	$549.41	$894.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.79 / $485.40 / $791.73	Professional		$316.79	$485.40	$791.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $249.32 / $452.24 / $731.25	Facility		$249.32	$452.24	$731.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $452.24 / $452.24 / $452.24	Professional		$452.24	$452.24	$452.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $523.00 / $523.00 / $523.00	Professional		$523.00	$523.00	$523.00
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 $341.09 / $491.99 / $967.65	Professional		$341.09	$491.99	$967.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,210.54 / $1,210.54 / $26,542.00	Facility		$1,210.54	$1,210.54	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,761.28 / $2,575.88 / $2,899.05	Professional		$1,761.28	$2,575.88	$2,899.05