Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.46 / $400.56 / $5,449.00	Facility		$163.46	$400.56	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.46 / $256.58 / $444.86	Professional		$163.46	$256.58	$444.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.85 / $418.84 / $679.90	Professional		$213.85	$418.84	$679.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.58 / $325.33 / $578.74	Professional		$177.58	$325.33	$578.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.46 / $273.95 / $481.16	Facility		$163.46	$273.95	$481.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $310.62 / $310.62 / $649.91	Professional		$310.62	$310.62	$649.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $176.00 / $719.60	Professional		$5.00	$176.00	$719.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,456.00 / $6,543.00	Facility		$1,728.00	$3,456.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.18 / $333.57 / $719.87	Professional		$236.18	$333.57	$719.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,136.58 / $1,136.58	Facility		$55.00	$1,136.58	$1,136.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,195.83 / $1,830.48 / $2,143.28	Professional		$1,195.83	$1,830.48	$2,143.28