Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.46 / $329.09 / $5,449.00	Facility		$165.46	$329.09	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.46 / $215.56 / $404.83	Professional		$165.46	$215.56	$404.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.66 / $345.07 / $570.15	Professional		$233.66	$345.07	$570.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.07 / $312.79 / $541.11	Professional		$179.07	$312.79	$541.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.46 / $279.11 / $450.74	Facility		$165.46	$279.11	$450.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $276.00 / $542.50	Professional		$276.00	$276.00	$542.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $391.10 / $578.00	Professional		$3.00	$391.10	$578.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.89 / $293.60 / $620.60	Professional		$197.89	$293.60	$620.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $888.20 / $888.20 / $12,000.00	Facility		$888.20	$888.20	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,321.00 / $2,321.00 / $2,321.00	Professional		$2,321.00	$2,321.00	$2,321.00