Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.26 / $230.38 / $7,278.00	Facility		$107.26	$230.38	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $158.96 / $207.25	Professional		$107.26	$158.96	$207.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.01 / $266.67 / $375.05	Professional		$162.01	$266.67	$375.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $217.05 / $363.45	Professional		$123.75	$217.05	$363.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.26 / $205.44 / $328.00	Facility		$107.26	$205.44	$328.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $205.44 / $205.44 / $390.02	Professional		$205.44	$205.44	$390.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $291.10 / $430.50	Professional		$3.00	$291.10	$430.50
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 $147.05 / $202.55 / $435.15	Professional		$147.05	$202.55	$435.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $569.29 / $16,394.00	Facility		$569.29	$569.29	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $818.32 / $1,379.40 / $1,633.16	Professional		$818.32	$1,379.40	$1,633.16