Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.40 / $1,227.59 / $1,376.40	Facility		$218.40	$1,227.59	$1,376.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.53 / $205.53 / $1,844.67	Professional		$205.53	$205.53	$1,844.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $106.94 / $142.58	Professional		$106.94	$106.94	$142.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Facility		$143.26	$143.26	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $419.38 / $1,694.61	Facility		$121.82	$419.38	$1,694.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,694.61 / $1,694.61 / $1,694.61	Professional		$1,694.61	$1,694.61	$1,694.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $362.02 / $377.74 / $449.00	Professional		$362.02	$377.74	$449.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $3,103.39	Professional		$2,170.19	$2,170.19	$3,103.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,844.67 / $1,844.67 / $2,170.19	Facility		$1,844.67	$1,844.67	$2,170.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,742.91 / $3,742.91 / $3,742.91	Professional		$3,742.91	$3,742.91	$3,742.91