Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.61 / $1,245.00 / $7,362.00	Facility		$199.61	$1,245.00	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.61 / $199.61 / $322.17	Professional		$199.61	$199.61	$322.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.68 / $332.77 / $466.39	Professional		$252.68	$332.77	$466.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.28 / $306.07 / $509.83	Professional		$214.28	$306.07	$509.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.61 / $253.77 / $495.71	Facility		$199.61	$253.77	$495.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.54 / $242.54 / $495.78	Professional		$242.54	$242.54	$495.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $309.30 / $519.29	Professional		$4.00	$309.30	$519.29
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 $182.86 / $266.95 / $547.79	Professional		$182.86	$266.95	$547.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $934.40 / $9,496.40 / $12,000.00	Facility		$934.40	$9,496.40	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,635.00 / $2,635.00 / $2,635.00	Professional		$2,635.00	$2,635.00	$2,635.00