Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $1,245.00 / $7,362.00	Facility		$65.63	$1,245.00	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $116.62	Professional		$65.63	$65.63	$116.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.98 / $148.10 / $185.07	Professional		$97.98	$148.10	$185.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $119.51 / $217.28	Professional		$76.48	$119.51	$217.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $106.19 / $228.00	Facility		$65.63	$106.19	$228.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $88.72 / $166.84	Professional		$88.72	$88.72	$166.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $158.60 / $257.70	Professional		$3.00	$158.60	$257.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $93.22 / $214.04	Professional		$66.40	$93.22	$214.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $330.88 / $5,444.45	Facility		$55.00	$330.88	$5,444.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,344.85 / $1,344.85	Professional		$1,028.19	$1,344.85	$1,344.85