Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.69 / $182.87 / $1,615.00	Facility		$108.69	$182.87	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $182.87 / $222.08	Professional		$108.69	$182.87	$222.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.62 / $290.07 / $534.63	Professional		$168.62	$290.07	$534.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $238.90 / $408.47	Professional		$143.13	$238.90	$408.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.69 / $201.16 / $385.33	Facility		$108.69	$201.16	$385.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $247.59 / $247.59 / $494.03	Professional		$247.59	$247.59	$494.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $185.20 / $515.50	Professional		$5.00	$185.20	$515.50
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 $187.09 / $265.25 / $521.40	Professional		$187.09	$265.25	$521.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $819.06 / $819.06	Facility		$55.00	$819.06	$819.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $863.52 / $1,419.44 / $1,662.98	Professional		$863.52	$1,419.44	$1,662.98