Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.94 / $1,881.00 / $4,321.71	Facility		$539.94	$1,881.00	$4,321.71
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $909.58 / $909.58 / $5,639.55	Facility	50	$909.58	$909.58	$5,639.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.50 / $539.94 / $983.44	Professional		$448.50	$539.94	$983.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.49 / $832.83 / $1,235.26	Professional		$475.49	$832.83	$1,235.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.41 / $804.50 / $1,475.04	Professional		$515.41	$804.50	$1,475.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $609.29 / $1,285.81	Facility		$435.00	$609.29	$1,285.81
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $652.50 / $898.34 / $1,973.84	Facility	50	$652.50	$898.34	$1,973.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $598.89 / $598.89 / $1,267.64	Professional		$598.89	$598.89	$1,267.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $784.22 / $1,093.80	Professional		$3.00	$784.22	$1,093.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.24 / $636.94 / $1,329.43	Professional		$432.24	$636.94	$1,329.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,074.60 / $8,723.79 / $12,000.00	Facility		$2,074.60	$8,723.79	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,021.76 / $4,021.76 / $4,767.00	Professional		$4,021.76	$4,021.76	$4,767.00