Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.61 / $4,148.00 / $6,915.00	Facility		$244.61	$4,148.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,778.50 / $9,778.50 / $10,372.50	Facility	50	$9,778.50	$9,778.50	$10,372.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $262.43 / $519.87	Professional		$162.72	$262.43	$519.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $244.56 / $657.18 / $1,251.91	Professional	50	$244.56	$657.18	$1,251.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.93 / $487.71 / $797.85	Professional		$290.93	$487.71	$797.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.51 / $364.17 / $579.45	Professional		$230.51	$364.17	$579.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.72 / $398.00 / $616.70	Facility		$162.72	$398.00	$616.70
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $354.18 / $612.72 / $924.93	Facility	50	$354.18	$612.72	$924.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $408.48 / $408.48 / $619.79	Professional		$408.48	$408.48	$619.79
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $612.72 / $612.72 / $612.72	Professional	50	$612.72	$612.72	$612.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $411.30 / $756.30	Professional		$5.00	$411.30	$756.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.25 / $371.57 / $701.78	Professional		$248.25	$371.57	$701.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,143.42 / $1,143.42 / $12,000.00	Facility		$1,143.42	$1,143.42	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,164.00 / $2,210.82 / $2,210.82	Professional		$2,164.00	$2,210.82	$2,210.82