Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.84 / $5,068.81 / $12,043.37	Facility		$137.84	$5,068.81	$12,043.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $130.91 / $274.36	Professional		$100.90	$130.91	$274.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $203.61 / $295.02	Professional		$137.91	$203.61	$295.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $184.91 / $324.89	Professional		$116.23	$184.91	$324.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.60 / $165.59 / $286.05	Facility		$112.60	$165.59	$286.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $142.00 / $355.41	Professional		$142.00	$142.00	$355.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $174.70 / $455.20	Professional		$3.00	$174.70	$455.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,353.00 / $6,575.00 / $9,616.00	Facility		$2,353.00	$6,575.00	$9,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $158.35 / $363.34	Professional		$108.77	$158.35	$363.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $593.61 / $593.61	Facility		$55.00	$593.61	$593.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,581.00 / $1,581.00 / $1,581.00	Professional		$1,581.00	$1,581.00	$1,581.00