Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.35 / $298.01 / $5,449.00	Facility		$127.35	$298.01	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.35 / $181.81 / $248.49	Professional		$127.35	$181.81	$248.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.51 / $302.02 / $491.60	Professional		$196.51	$302.02	$491.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $260.25 / $438.23	Professional		$147.22	$260.25	$438.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.35 / $243.15 / $403.51	Facility		$127.35	$243.15	$403.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.15 / $243.15 / $466.84	Professional		$243.15	$243.15	$466.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $345.30 / $514.79	Professional		$3.00	$345.30	$514.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $3,733.00 / $6,097.00	Facility		$1,258.00	$3,733.00	$6,097.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.62 / $257.08 / $564.24	Professional		$177.62	$257.08	$564.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $670.84 / $670.84 / $12,000.00	Facility		$670.84	$670.84	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,118.00 / $1,651.80 / $1,728.01	Professional		$1,118.00	$1,651.80	$1,728.01