Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.29 / $3,144.52 / $10,087.00	Facility		$128.29	$3,144.52	$10,087.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $143.88 / $272.87	Professional		$128.29	$143.88	$272.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.72 / $237.86 / $368.13	Professional		$179.72	$237.86	$368.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.21 / $289.17	Professional		$158.49	$218.21	$289.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.29 / $199.00 / $323.39	Facility		$128.29	$199.00	$323.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.75 / $167.75 / $346.53	Professional		$167.75	$167.75	$346.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $241.30 / $328.00	Professional		$3.00	$241.30	$328.00
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 $127.95 / $180.75 / $360.80	Professional		$127.95	$180.75	$360.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $497.24 / $9,496.40 / $26,542.00	Facility		$497.24	$9,496.40	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,068.90 / $1,068.90 / $1,158.23	Professional		$1,068.90	$1,068.90	$1,158.23