Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.58 / $3,294.89 / $7,593.41	Facility		$89.58	$3,294.89	$7,593.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,413.83 / $6,816.52 / $6,816.52	Facility	50	$3,413.83	$6,816.52	$6,816.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $211.74 / $443.09	Professional		$80.11	$211.74	$443.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.68 / $380.99 / $680.29	Professional		$134.68	$380.99	$680.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $138.81 / $138.81	Facility		$138.81	$138.81	$138.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.40 / $263.26 / $644.54	Professional		$94.40	$263.26	$644.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.76 / $315.95 / $622.19	Facility		$86.76	$315.95	$622.19
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $220.26 / $641.27 / $1,011.00	Facility	50	$220.26	$641.27	$1,011.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $279.83 / $305.00 / $606.00	Professional		$279.83	$305.00	$606.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $319.50 / $520.40	Professional		$27.40	$319.50	$520.40
United Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $874.00 / $2,074.00	Facility		$116.00	$874.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.00 / $358.64 / $765.66	Professional		$239.00	$358.64	$765.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $559.28 / $559.28	Facility		$55.00	$559.28	$559.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,127.01 / $2,532.38 / $2,809.18	Professional		$1,127.01	$2,532.38	$2,809.18