Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.81 / $903.00 / $7,446.99	Facility		$161.81	$903.00	$7,446.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $184.61 / $361.42	Professional		$161.81	$184.61	$361.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.10 / $381.00 / $501.32	Professional		$228.10	$381.00	$501.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.78 / $282.32 / $486.59	Professional		$192.78	$282.32	$486.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.81 / $250.90 / $427.68	Facility		$161.81	$250.90	$427.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $238.11 / $238.11 / $469.45	Professional		$238.11	$238.11	$469.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $357.10 / $482.70	Professional		$4.00	$357.10	$482.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,586.40 / $7,162.00 / $10,502.00	Facility		$1,586.40	$7,162.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.62 / $251.23 / $535.65	Professional		$178.62	$251.23	$535.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $950.50 / $950.50	Facility		$55.00	$950.50	$950.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,202.32 / $1,615.05 / $2,040.97	Professional		$1,202.32	$1,615.05	$2,040.97