Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.11 / $2,558.57 / $12,247.00	Facility		$164.11	$2,558.57	$12,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.11 / $2,558.57 / $3,203.29	Professional		$164.11	$2,558.57	$3,203.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.55 / $3,757.96 / $7,405.87	Professional		$252.55	$3,757.96	$7,405.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.27 / $567.59 / $6,182.16	Professional		$212.27	$567.59	$6,182.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.11 / $2,558.57 / $4,355.74	Facility		$164.11	$2,558.57	$4,355.74
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $477.59 / $5,123.79 / $7,962.84	Facility	50	$477.59	$5,123.79	$7,962.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,415.86 / $3,415.86 / $7,247.99	Professional		$3,415.86	$3,415.86	$7,247.99
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $5,123.79 / $5,123.79 / $5,123.79	Professional	50	$5,123.79	$5,123.79	$5,123.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $7,381.80	Professional		$5.00	$5.00	$7,381.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,973.27 / $4,430.55 / $7,941.89	Professional		$2,973.27	$4,430.55	$7,941.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,156.92 / $1,156.92	Facility		$55.00	$1,156.92	$1,156.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,225.68 / $3,050.76 / $20,156.09	Professional		$1,225.68	$3,050.76	$20,156.09