Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.19 / $755.93 / $4,978.00	Facility		$115.19	$755.93	$4,978.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $153.16 / $370.67	Professional		$73.00	$153.16	$370.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.69 / $221.32 / $341.56	Professional		$110.69	$221.32	$341.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $165.40 / $315.55	Professional		$86.16	$165.40	$315.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $162.47 / $260.39	Facility		$73.20	$162.47	$260.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $162.47 / $360.83	Professional		$162.47	$162.47	$360.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $148.50 / $421.00	Professional		$3.00	$148.50	$421.00
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $192.83 / $405.98	Professional		$123.03	$192.83	$405.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $372.92 / $372.92	Facility		$55.00	$372.92	$372.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $576.42 / $1,080.00 / $1,272.98	Professional		$576.42	$1,080.00	$1,272.98