Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $3,819.00 / $7,623.54	Facility		$218.78	$3,819.00	$7,623.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $375.56 / $811.21	Professional		$136.94	$375.56	$811.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.72 / $491.01 / $1,222.83	Professional		$222.72	$491.01	$1,222.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.91 / $480.53 / $956.83	Professional		$162.91	$480.53	$956.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $419.24 / $927.44	Facility		$136.94	$419.24	$927.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $557.72 / $557.72 / $959.65	Professional		$557.72	$557.72	$959.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $401.40 / $1,040.40	Professional		$3.00	$401.40	$1,040.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,756.00 / $10,502.00	Facility		$2,526.00	$7,756.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.86 / $632.45 / $1,143.00	Professional		$372.86	$632.45	$1,143.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $688.61 / $688.61 / $16,394.00	Facility		$688.61	$688.61	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,610.89 / $3,607.07 / $3,607.07	Professional		$1,610.89	$3,607.07	$3,607.07