Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.04 / $1,338.00 / $8,413.00	Facility		$193.04	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $193.04 / $281.08	Professional		$193.04	$193.04	$281.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.39 / $323.62 / $502.32	Professional		$244.39	$323.62	$502.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.20 / $316.73 / $547.35	Professional		$230.20	$316.73	$547.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $180.83 / $243.75 / $403.45	Facility		$180.83	$243.75	$403.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.75 / $243.75 / $500.81	Professional		$243.75	$243.75	$500.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $231.90 / $490.30	Professional		$5.00	$231.90	$490.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.25 / $264.95 / $537.45	Professional		$189.25	$264.95	$537.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,025.52 / $14,266.70	Facility		$55.00	$1,025.52	$14,266.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,542.15 / $1,542.15 / $45,748.83	Professional		$1,542.15	$1,542.15	$45,748.83