Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.94 / $1,245.00 / $7,362.00	Facility		$108.94	$1,245.00	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $108.94 / $202.17	Professional		$108.94	$108.94	$202.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.87 / $226.70 / $281.51	Professional		$136.87	$226.70	$281.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $171.23 / $285.74	Professional		$116.13	$171.23	$285.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.94 / $138.84 / $282.54	Facility		$108.94	$138.84	$282.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $137.19 / $299.01	Professional		$137.19	$137.19	$299.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $176.90 / $282.10	Professional		$5.00	$176.90	$282.10
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 $103.83 / $144.22 / $290.37	Professional		$103.83	$144.22	$290.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $647.28 / $2,108.55	Facility		$55.00	$647.28	$2,108.55
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $792.87 / $792.87 / $1,018.95	Professional		$792.87	$792.87	$1,018.95