Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.09 / $4,086.00 / $9,755.61	Facility		$210.09	$4,086.00	$9,755.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.33 / $157.96 / $341.19	Professional		$69.33	$157.96	$341.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $274.64 / $450.42	Professional		$115.92	$274.64	$450.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $213.78 / $357.00	Professional		$91.68	$213.78	$357.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.33 / $194.39 / $350.53	Facility		$69.33	$194.39	$350.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.45 / $208.45 / $387.22	Professional		$208.45	$208.45	$387.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $323.70 / $434.30	Professional		$5.00	$323.70	$434.30
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.69 / $219.34 / $440.06	Professional		$152.69	$219.34	$440.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $474.42 / $477.21	Facility		$55.00	$474.42	$477.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $743.00 / $1,343.93 / $1,378.98	Professional		$743.00	$1,343.93	$1,378.98