Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.68 / $4,376.00 / $7,278.00	Facility		$126.68	$4,376.00	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.68 / $207.29 / $347.87	Professional		$126.68	$207.29	$347.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $286.33 / $485.23	Professional		$187.57	$286.33	$485.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $257.02 / $443.79	Professional		$146.88	$257.02	$443.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.68 / $215.36 / $394.62	Facility		$126.68	$215.36	$394.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $249.48 / $249.48 / $512.26	Professional		$249.48	$249.48	$512.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $176.30 / $577.50	Professional		$5.00	$176.30	$577.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.71 / $264.32 / $667.56	Professional		$197.71	$264.32	$667.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $891.72 / $891.72	Facility		$55.00	$891.72	$891.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $937.76 / $1,493.68 / $1,755.90	Professional		$937.76	$1,493.68	$1,755.90