Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.70 / $197.38 / $5,449.00	Facility		$116.70	$197.38	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.70 / $197.31 / $408.60	Professional		$116.70	$197.31	$408.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.14 / $288.55 / $487.10	Professional		$172.14	$288.55	$487.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $252.09 / $424.44	Professional		$135.99	$252.09	$424.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $239.00 / $378.15	Facility		$117.49	$239.00	$378.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $249.21 / $249.21 / $491.89	Professional		$249.21	$249.21	$491.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $261.89 / $536.10	Professional		$3.00	$261.89	$536.10
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 $186.25 / $263.55 / $570.57	Professional		$186.25	$263.55	$570.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $612.66 / $612.66 / $12,000.00	Facility		$612.66	$612.66	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $890.24 / $3,577.25 / $3,577.25	Professional		$890.24	$3,577.25	$3,577.25