Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.89 / $1,615.00 / $7,278.00	Facility		$195.89	$1,615.00	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.17 / $212.70 / $423.40	Professional		$180.17	$212.70	$423.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.20 / $422.48 / $585.28	Professional		$261.20	$422.48	$585.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.03 / $317.61 / $554.57	Professional		$219.03	$317.61	$554.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $180.17 / $286.80 / $485.82	Facility		$180.17	$286.80	$485.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $277.58 / $277.58 / $514.13	Professional		$277.58	$277.58	$514.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $406.10 / $538.00	Professional		$4.00	$406.10	$538.00
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 $201.14 / $280.57 / $611.14	Professional		$201.14	$280.57	$611.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,065.00 / $1,065.00 / $16,394.00	Facility		$1,065.00	$1,065.00	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,357.76 / $1,944.45 / $2,323.59	Professional		$1,357.76	$1,944.45	$2,323.59