Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,245.00 / $6,953.60	Facility		$114.82	$1,245.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $232.18	Professional		$114.82	$114.82	$232.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.11 / $273.73 / $329.14	Professional		$164.11	$273.73	$329.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $213.15 / $344.18	Professional		$154.44	$213.15	$344.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $206.15 / $327.83	Facility		$114.82	$206.15	$327.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $174.33 / $312.70	Professional		$174.33	$174.33	$312.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $220.60 / $294.70	Professional		$5.00	$220.60	$294.70
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $181.62 / $330.93	Professional		$122.29	$181.62	$330.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $637.44 / $2,000.00 / $12,000.00	Facility		$637.44	$2,000.00	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,131.01 / $1,131.01 / $1,131.01	Professional		$1,131.01	$1,131.01	$1,131.01