Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.26 / $903.00 / $4,311.00	Facility		$86.26	$903.00	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $142.91 / $550.91	Professional		$51.82	$142.91	$550.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.36 / $456.40 / $833.68	Professional		$86.36	$456.40	$833.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $328.09 / $866.61	Professional		$68.34	$328.09	$866.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $419.34 / $782.35	Facility		$51.82	$419.34	$782.35
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $188.36 / $770.13 / $1,273.19	Facility	50	$188.36	$770.13	$1,273.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $419.34 / $419.34 / $940.27	Professional		$419.34	$419.34	$940.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $700.30 / $1,197.09	Professional		$5.00	$700.30	$1,197.09
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,193.00 / $3,348.00	Facility		$905.00	$2,193.00	$3,348.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.60 / $498.19 / $952.69	Professional		$312.60	$498.19	$952.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $719.98 / $719.98	Facility		$55.00	$719.98	$719.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,462.69 / $2,839.59 / $3,326.40	Professional		$1,462.69	$2,839.59	$3,326.40