Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.21 / $689.00 / $5,449.00	Facility		$55.21	$689.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.21 / $65.92 / $166.73	Professional		$55.21	$65.92	$166.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $167.18 / $210.25	Professional		$97.66	$167.18	$210.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $107.65 / $169.18	Professional		$78.06	$107.65	$169.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.21 / $113.71 / $179.05	Facility		$55.21	$113.71	$179.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $100.52 / $142.35	Professional		$100.52	$100.52	$142.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $173.70 / $339.40	Professional		$5.00	$173.70	$339.40
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 $56.91 / $88.06 / $151.63	Professional		$56.91	$88.06	$151.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $141.87 / $2,108.55 / $12,000.00	Facility		$141.87	$2,108.55	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,087.15 / $1,853.20 / $1,853.20	Professional		$1,087.15	$1,853.20	$1,853.20