Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.81 / $1,800.47 / $6,309.68	Facility		$124.81	$1,800.47	$6,309.68
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $54.59 / $220.30 / $505.50	Facility	52	$54.59	$220.30	$505.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $408.86 / $475.20	Professional		$103.09	$408.86	$475.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.09 / $472.60 / $1,239.86	Professional		$186.09	$472.60	$1,239.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.50 / $559.98 / $982.98	Professional		$147.50	$559.98	$982.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.17 / $440.60 / $716.77	Facility		$109.17	$440.60	$716.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $627.16 / $627.16 / $1,167.53	Professional		$627.16	$627.16	$1,167.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.94 / $598.84 / $660.68	Professional		$153.94	$598.84	$660.68
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.25 / $622.92 / $1,165.33	Professional		$445.25	$622.92	$1,165.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $977.84 / $977.84 / $977.84	Facility		$977.84	$977.84	$977.84
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $415.26 / $415.26 / $415.26	Facility	52	$415.26	$415.26	$415.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,515.67 / $3,012.64 / $3,517.95	Professional		$1,515.67	$3,012.64	$3,517.95