Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.65 / $404.29 / $5,449.00	Facility		$204.65	$404.29	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.65 / $334.19 / $382.17	Professional		$204.65	$334.19	$382.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.86 / $423.24 / $761.95	Professional		$268.86	$423.24	$761.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.65 / $384.44 / $703.86	Professional		$211.65	$384.44	$703.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.65 / $327.98 / $571.30	Facility		$204.65	$327.98	$571.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $327.98 / $327.98 / $835.54	Professional		$327.98	$327.98	$835.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $277.10 / $923.80	Professional		$5.00	$277.10	$923.80
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 $263.88 / $383.34 / $867.61	Professional		$263.88	$383.34	$867.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,449.12 / $1,449.12 / $12,000.00	Facility		$1,449.12	$1,449.12	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,511.52 / $2,396.64 / $2,878.95	Professional		$1,511.52	$2,396.64	$2,878.95