Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.15 / $3,245.96 / $4,880.00	Facility		$97.15	$3,245.96	$4,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $112.23 / $211.42	Professional		$58.25	$112.23	$211.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $169.31 / $323.97	Professional		$92.61	$169.31	$323.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $134.31 / $271.14	Professional		$72.73	$134.31	$271.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.58 / $144.00 / $246.39	Facility		$58.58	$144.00	$246.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $154.59 / $317.24	Professional		$154.59	$154.59	$317.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $123.10 / $350.40	Professional		$4.00	$123.10	$350.40
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 $120.43 / $162.99 / $344.80	Professional		$120.43	$162.99	$344.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $351.85 / $351.85	Facility		$55.00	$351.85	$351.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,265.00 / $1,265.00 / $1,265.00	Professional		$1,265.00	$1,265.00	$1,265.00