Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.41 / $1,556.50 / $4,311.00	Facility		$225.41	$1,556.50	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.79 / $225.41 / $388.14	Professional		$162.79	$225.41	$388.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.41 / $365.94 / $582.07	Professional		$249.41	$365.94	$582.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $314.18 / $534.85	Professional		$188.91	$314.18	$534.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.79 / $287.77 / $498.62	Facility		$162.79	$287.77	$498.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $287.77 / $287.77 / $561.10	Professional		$287.77	$287.77	$561.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $428.00 / $606.20	Professional		$3.00	$428.00	$606.20
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 $209.88 / $290.07 / $636.99	Professional		$209.88	$290.07	$636.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $852.34 / $852.34 / $12,000.00	Facility		$852.34	$852.34	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,227.92 / $1,954.35 / $2,757.97	Professional		$1,227.92	$1,954.35	$2,757.97