Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.30 / $6,519.00 / $7,278.00	Facility		$128.30	$6,519.00	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $128.30 / $204.29	Professional		$119.70	$128.30	$204.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.37 / $229.05 / $367.64	Professional		$170.37	$229.05	$367.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.57 / $219.39 / $343.71	Professional		$151.57	$219.39	$343.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.09 / $171.51 / $321.55	Facility		$122.09	$171.51	$321.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $171.51 / $171.51 / $330.77	Professional		$171.51	$171.51	$330.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $184.30 / $327.30	Professional		$3.00	$184.30	$327.30
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 $128.22 / $184.32 / $360.51	Professional		$128.22	$184.32	$360.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $482.36 / $9,496.40 / $16,394.00	Facility		$482.36	$9,496.40	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,068.90 / $1,068.90 / $1,099.58	Professional		$1,068.90	$1,068.90	$1,099.58