Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $4,311.00 / $5,449.00	Facility		$45.60	$4,311.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $49.50 / $131.02	Professional		$45.60	$49.50	$131.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $81.56 / $118.84	Professional		$62.64	$81.56	$118.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $77.97 / $135.00	Professional		$51.98	$77.97	$135.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $68.56 / $95.21	Facility		$45.60	$68.56	$95.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $61.18 / $118.70	Professional		$61.18	$61.18	$118.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $103.50 / $118.80	Professional		$3.00	$103.50	$118.80
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 $46.26 / $65.13 / $132.63	Professional		$46.26	$65.13	$132.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $178.16 / $9,496.40 / $12,000.00	Facility		$178.16	$9,496.40	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $550.76 / $550.76 / $550.76	Professional		$550.76	$550.76	$550.76