Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.04 / $4,311.00 / $8,961.09	Facility		$204.04	$4,311.00	$8,961.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.04 / $217.71 / $399.46	Professional		$204.04	$217.71	$399.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.22 / $379.39 / $598.00	Professional		$261.22	$379.39	$598.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.96 / $347.20 / $575.08	Professional		$244.96	$347.20	$575.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.04 / $287.49 / $520.20	Facility		$204.04	$287.49	$520.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $287.49 / $287.49 / $520.36	Professional		$287.49	$287.49	$520.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $337.10 / $523.79	Professional		$3.00	$337.10	$523.79
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 $202.90 / $284.31 / $585.74	Professional		$202.90	$284.31	$585.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $776.88 / $9,388.90 / $12,000.00	Facility		$776.88	$9,388.90	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,782.00 / $1,782.00 / $1,782.00	Professional		$1,782.00	$1,782.00	$1,782.00