Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.12 / $2,980.22 / $6,915.00	Facility		$252.12	$2,980.22	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.28 / $264.54 / $544.58	Professional		$195.28	$264.54	$544.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.64 / $441.98 / $729.67	Professional		$296.64	$441.98	$729.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $376.88 / $638.83	Professional		$220.46	$376.88	$638.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.28 / $302.02 / $526.34	Facility		$195.28	$302.02	$526.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $358.09 / $358.09 / $639.14	Professional		$358.09	$358.09	$639.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $350.40 / $667.00	Professional		$3.00	$350.40	$667.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,353.00 / $6,575.00 / $9,616.00	Facility		$2,353.00	$6,575.00	$9,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.98 / $350.51 / $806.55	Professional		$253.98	$350.51	$806.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,003.20 / $1,003.20 / $16,394.00	Facility		$1,003.20	$1,003.20	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,467.60 / $1,863.68 / $2,149.94	Professional		$1,467.60	$1,863.68	$2,149.94