Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.18 / $449.92 / $5,449.00	Facility		$243.18	$449.92	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.18 / $315.97 / $516.26	Professional		$243.18	$315.97	$516.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.36 / $864.30 / $1,250.02	Professional		$443.36	$864.30	$1,250.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.60 / $524.63 / $865.95	Professional		$284.60	$524.63	$865.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $243.18 / $387.94 / $929.50	Facility		$243.18	$387.94	$929.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $358.00 / $702.63	Professional		$358.00	$358.00	$702.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $278.95 / $349.31 / $445.16	Professional		$278.95	$349.31	$445.16
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 $270.57 / $530.36 / $853.57	Professional		$270.57	$530.36	$853.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,020.97 / $2,020.97 / $12,000.00	Facility		$2,020.97	$2,020.97	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,160.00 / $3,170.12 / $3,643.79	Professional		$3,160.00	$3,170.12	$3,643.79