Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.65 / $1,615.00 / $12,615.00	Facility		$198.65	$1,615.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.65 / $198.65 / $367.31	Professional		$198.65	$198.65	$367.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.58 / $415.74 / $682.68	Professional		$326.58	$415.74	$682.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.36 / $387.38 / $584.92	Professional		$264.36	$387.38	$584.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $189.46 / $337.71 / $557.52	Facility		$189.46	$337.71	$557.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $417.82 / $417.82 / $520.15	Professional		$417.82	$417.82	$520.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $383.30 / $505.60	Professional		$5.00	$383.30	$505.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $341.34 / $563.08	Professional		$202.97	$341.34	$563.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,121.09 / $4,989.20	Facility		$55.00	$1,121.09	$4,989.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,045.20 / $4,254.92 / $4,254.92	Professional		$4,045.20	$4,254.92	$4,254.92