Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.73 / $4,230.05 / $5,177.00	Facility		$96.73	$4,230.05	$5,177.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $96.28 / $174.07	Professional		$86.98	$96.28	$174.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $175.02 / $276.17	Professional		$127.25	$175.02	$276.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $162.04 / $254.82	Professional		$114.38	$162.04	$254.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.29 / $149.41 / $236.53	Facility		$92.29	$149.41	$236.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $125.09 / $240.57	Professional		$125.09	$125.09	$240.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $146.10 / $244.10	Professional		$4.00	$146.10	$244.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,233.74 / $3,456.00 / $6,543.00	Facility		$1,233.74	$3,456.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.03 / $133.04 / $259.42	Professional		$95.03	$133.04	$259.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $438.75 / $4,017.35 / $12,000.00	Facility		$438.75	$4,017.35	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,509.00 / $1,509.00 / $1,509.00	Professional		$1,509.00	$1,509.00	$1,509.00