Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.04 / $272.20 / $5,449.00	Facility		$106.04	$272.20	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $172.53 / $221.04	Professional		$102.35	$172.53	$221.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $260.91 / $260.91 / $260.91	Professional	50	$260.91	$260.91	$260.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $244.91 / $455.89	Professional		$115.20	$244.91	$455.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.77 / $225.00 / $388.19	Professional		$120.77	$225.00	$388.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.04 / $202.00 / $336.07	Facility		$106.04	$202.00	$336.07
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $162.00 / $318.20 / $646.71	Facility	50	$162.00	$318.20	$646.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $212.13 / $212.13 / $453.34	Professional		$212.13	$212.13	$453.34
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $318.20 / $318.20 / $318.20	Professional	50	$318.20	$318.20	$318.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $168.80 / $498.00	Professional		$5.00	$168.80	$498.00
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 $171.08 / $227.75 / $580.51	Professional		$171.08	$227.75	$580.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $766.50 / $766.50	Facility		$55.00	$766.50	$766.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $807.76 / $1,330.32 / $1,559.55	Professional		$807.76	$1,330.32	$1,559.55