Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.30 / $574.35 / $7,278.00	Facility		$278.30	$574.35	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.30 / $415.30 / $673.49	Professional		$278.30	$415.30	$673.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.65 / $668.04 / $1,044.96	Professional		$443.65	$668.04	$1,044.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.80 / $556.67 / $949.71	Professional		$350.80	$556.67	$949.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $278.30 / $511.07 / $761.19	Facility		$278.30	$511.07	$761.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $511.07 / $511.07 / $1,026.95	Professional		$511.07	$511.07	$1,026.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $203.60 / $1,153.80	Professional		$3.00	$203.60	$1,153.80
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 $380.48 / $573.04 / $1,142.06	Professional		$380.48	$573.04	$1,142.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,383.82 / $1,383.82 / $16,394.00	Facility		$1,383.82	$1,383.82	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,066.64 / $3,040.08 / $3,505.28	Professional		$2,066.64	$3,040.08	$3,505.28