Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.40 / $4,311.00 / $7,419.86	Facility		$154.40	$4,311.00	$7,419.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.30 / $181.78 / $392.64	Professional		$145.30	$181.78	$392.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.68 / $254.19 / $415.78	Professional		$186.68	$254.19	$415.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.55 / $236.58 / $414.59	Professional		$160.55	$236.58	$414.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.91 / $208.00 / $371.34	Facility		$151.91	$208.00	$371.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.90 / $186.90 / $410.68	Professional		$186.90	$186.90	$410.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $242.40 / $487.80	Professional		$3.00	$242.40	$487.80
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 $139.68 / $205.44 / $462.61	Professional		$139.68	$205.44	$462.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $788.17 / $788.17 / $12,000.00	Facility		$788.17	$788.17	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,123.44 / $1,311.92 / $1,533.45	Professional		$1,123.44	$1,311.92	$1,533.45