Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.46 / $3,996.50 / $7,993.00	Facility		$122.46	$3,996.50	$7,993.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $104.64 / $171.32	Professional		$81.31	$104.64	$171.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $172.28 / $269.45	Professional		$74.89	$172.28	$269.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.88 / $158.12 / $285.80	Professional		$95.88	$158.12	$285.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.81 / $150.36 / $238.73	Facility		$93.81	$150.36	$238.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.85 / $120.85 / $317.43	Professional		$120.85	$120.85	$317.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $150.50 / $422.10	Professional		$4.00	$150.50	$422.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $144.33 / $326.02	Professional		$92.40	$144.33	$326.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $540.40 / $540.40 / $26,542.00	Facility		$540.40	$540.40	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $682.16 / $1,080.56 / $1,272.83	Professional		$682.16	$1,080.56	$1,272.83