Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.43 / $903.00 / $6,953.60	Facility		$179.43	$903.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.43 / $290.10 / $386.70	Professional		$179.43	$290.10	$386.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $615.66 / $1,175.17	Professional		$278.88	$615.66	$1,175.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $275.57 / $275.57	Professional		$275.57	$275.57	$275.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.43 / $386.70 / $568.77	Facility		$179.43	$386.70	$568.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $424.60 / $424.60 / $1,300.25	Professional		$424.60	$424.60	$1,300.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $259.07 / $542.05 / $1,039.80	Professional		$259.07	$542.05	$1,039.80
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.43 / $626.16 / $1,175.52	Professional		$436.43	$626.16	$1,175.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $901.83 / $901.83 / $901.83	Facility		$901.83	$901.83	$901.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,342.41 / $1,457.03 / $2,557.35	Professional		$1,342.41	$1,457.03	$2,557.35