Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.68 / $1,429.11 / $4,880.00	Facility		$275.68	$1,429.11	$4,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.63 / $279.86 / $547.89	Professional		$180.63	$279.86	$547.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.99 / $420.27 / $724.08	Professional		$274.99	$420.27	$724.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.65 / $367.68 / $667.10	Professional		$225.65	$367.68	$667.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $180.63 / $307.85 / $535.05	Facility		$180.63	$307.85	$535.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $336.98 / $336.98 / $713.67	Professional		$336.98	$336.98	$713.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $270.00 / $766.80	Professional		$5.00	$270.00	$766.80
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 $271.95 / $365.90 / $787.29	Professional		$271.95	$365.90	$787.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,259.33 / $1,259.33	Facility		$55.00	$1,259.33	$1,259.33
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,334.16 / $1,995.04 / $2,313.83	Professional		$1,334.16	$1,995.04	$2,313.83