Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.61 / $247.36 / $6,953.60	Facility		$151.61	$247.36	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $179.88 / $249.85	Professional		$151.61	$179.88	$249.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.55 / $274.06 / $452.31	Professional		$144.55	$274.06	$452.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.44 / $248.02 / $447.14	Professional		$162.44	$248.02	$447.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.61 / $199.00 / $393.07	Facility		$151.61	$199.00	$393.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $198.21 / $198.21 / $435.83	Professional		$198.21	$198.21	$435.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $205.00 / $486.70	Professional		$5.00	$205.00	$486.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.47 / $217.06 / $501.51	Professional		$147.47	$217.06	$501.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,102.38 / $1,102.38 / $12,000.00	Facility		$1,102.38	$1,102.38	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,160.80 / $1,354.00 / $1,585.95	Professional		$1,160.80	$1,354.00	$1,585.95