Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.51 / $1,245.00 / $7,362.00	Facility		$74.51	$1,245.00	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $74.51 / $145.13	Professional		$74.51	$74.51	$145.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $191.50 / $230.14	Professional		$119.04	$191.50	$230.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $136.26 / $227.51	Professional		$96.42	$136.26	$227.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.51 / $123.41 / $197.45	Facility		$74.51	$123.41	$197.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $107.28 / $191.35	Professional		$107.28	$107.28	$191.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $141.10 / $193.10	Professional		$6.00	$141.10	$193.10
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 $76.87 / $106.99 / $239.62	Professional		$76.87	$106.99	$239.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $503.02 / $5,444.45 / $12,000.00	Facility		$503.02	$5,444.45	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $650.78 / $677.17 / $677.17	Professional		$650.78	$677.17	$677.17