Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.45 / $2,582.51 / $6,303.41	Facility		$210.45	$2,582.51	$6,303.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.95 / $457.14 / $3,091.20	Professional		$195.95	$457.14	$3,091.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.34 / $351.62 / $519.37	Professional		$225.34	$351.62	$519.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.45 / $302.83 / $548.84	Professional		$231.45	$302.83	$548.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.45 / $294.77 / $327.54	Facility		$210.45	$294.77	$327.54
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $56.57 / $58.95 / $74.20	Facility	80	$56.57	$58.95	$74.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $34.34 / $41.27 / $51.20	Facility	AS	$34.34	$41.27	$51.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $294.77 / $294.77 / $294.77	Professional		$294.77	$294.77	$294.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $375.24 / $375.24 / $375.24	Professional		$375.24	$375.24	$375.24
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 $182.18 / $225.37 / $494.74	Professional		$182.18	$225.37	$494.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $538.25 / $1,070.79	Facility		$55.00	$538.25	$1,070.79
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $383.65 / $430.60 / $833.11	Facility	52	$383.65	$430.60	$833.11
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $47.96 / $53.83 / $104.14	Facility	AS	$47.96	$53.83	$104.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,534.80 / $1,534.80 / $1,805.93	Professional		$1,534.80	$1,534.80	$1,805.93