Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.22 / $4,376.00 / $7,871.42	Facility		$323.22	$4,376.00	$7,871.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $323.22 / $655.36	Professional		$147.22	$323.22	$655.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.15 / $482.38 / $813.76	Professional		$239.15	$482.38	$813.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.77 / $415.80 / $680.62	Professional		$185.77	$415.80	$680.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $381.40 / $676.45	Facility		$147.22	$381.40	$676.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $396.70 / $396.70 / $798.54	Professional		$396.70	$396.70	$798.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $342.80 / $885.00	Professional		$3.00	$342.80	$885.00
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 $287.77 / $419.86 / $851.40	Professional		$287.77	$419.86	$851.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $777.93 / $777.93 / $16,394.00	Facility		$777.93	$777.93	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,262.00 / $2,569.80 / $3,913.13	Professional		$1,262.00	$2,569.80	$3,913.13