Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.68 / $1,154.36 / $5,449.00	Facility		$118.68	$1,154.36	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.68 / $202.11 / $359.14	Professional		$118.68	$202.11	$359.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.85 / $327.08 / $524.57	Professional		$180.85	$327.08	$524.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $253.38 / $453.43	Professional		$143.88	$253.38	$453.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.68 / $211.49 / $381.10	Facility		$118.68	$211.49	$381.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $240.10 / $240.10 / $526.14	Professional		$240.10	$240.10	$526.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $202.50 / $587.79	Professional		$5.00	$202.50	$587.79
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 $190.83 / $269.52 / $605.80	Professional		$190.83	$269.52	$605.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $847.38 / $847.38	Facility		$55.00	$847.38	$847.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $894.48 / $1,545.84 / $1,807.35	Professional		$894.48	$1,545.84	$1,807.35