Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.26 / $2,451.10 / $3,379.57	Facility		$284.26	$2,451.10	$3,379.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.44 / $2,451.10 / $2,904.44	Professional		$529.44	$2,451.10	$2,904.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $101.95	Professional		$101.95	$101.95	$101.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.32 / $435.27 / $3,554.03	Facility		$285.32	$435.27	$3,554.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.34 / $409.74 / $708.32	Professional		$250.34	$409.74	$708.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $342.00 / $532.44 / $2,941.32	Facility		$342.00	$532.44	$2,941.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $4,491.00	Professional		$52.00	$52.00	$4,491.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $344.50 / $369.90 / $463.40	Professional		$344.50	$369.90	$463.40
United Facility/Professional Facility Modifier Low / Median / High Price $492.30 / $2,396.67 / $2,437.46	Facility		$492.30	$2,396.67	$2,437.46
United Facility/Professional Professional Modifier Low / Median / High Price $278.83 / $1,557.33 / $4,349.14	Professional		$278.83	$1,557.33	$4,349.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $531.44 / $9,011.04 / $9,011.04	Facility		$531.44	$9,011.04	$9,011.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,824.77 / $4,824.77 / $4,824.77	Professional		$4,824.77	$4,824.77	$4,824.77