Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.79 / $142.69 / $1,615.00	Facility		$60.79	$142.69	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $140.94 / $255.20	Professional		$60.79	$140.94	$255.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.02 / $204.77 / $362.83	Professional		$90.02	$204.77	$362.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $153.41 / $304.25	Professional		$75.95	$153.41	$304.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.79 / $142.69 / $266.89	Facility		$60.79	$142.69	$266.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.66 / $167.66 / $350.92	Professional		$167.66	$167.66	$350.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $120.30 / $397.90	Professional		$5.00	$120.30	$397.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,127.93 / $3,456.00 / $6,543.00	Facility		$1,127.93	$3,456.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $182.56 / $391.24	Professional		$134.91	$182.56	$391.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $445.80 / $445.80	Facility		$55.00	$445.80	$445.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $536.85 / $1,018.80 / $1,199.63	Professional		$536.85	$1,018.80	$1,199.63