Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.68 / $211.55 / $1,071.83	Facility		$95.68	$211.55	$1,071.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $160.65 / $365.20 / $2,371.28	Facility	50	$160.65	$365.20	$2,371.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $116.80 / $334.56	Professional		$53.85	$116.80	$334.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $211.49 / $267.57 / $540.23	Professional	50	$211.49	$267.57	$540.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $154.38 / $279.62	Professional		$89.90	$154.38	$279.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $137.97 / $298.94	Professional		$71.69	$137.97	$298.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.66 / $146.99 / $258.67	Facility		$55.66	$146.99	$258.67
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $115.50 / $221.84 / $527.28	Facility	50	$115.50	$221.84	$527.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.13 / $127.13 / $359.61	Professional		$127.13	$127.13	$359.61
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $190.70 / $190.70 / $190.70	Professional	50	$190.70	$190.70	$190.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $161.40 / $428.00	Professional		$5.00	$161.40	$428.00
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 $92.40 / $147.61 / $361.78	Professional		$92.40	$147.61	$361.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $382.32 / $382.32	Facility		$55.00	$382.32	$382.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $592.67 / $1,116.08 / $1,315.43	Professional		$592.67	$1,116.08	$1,315.43