Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.44 / $2,608.23 / $4,397.05	Facility		$154.44	$2,608.23	$4,397.05
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $957.26 / $3,457.50 / $3,457.50	Facility	50	$957.26	$3,457.50	$3,457.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $160.61 / $402.22	Professional		$148.08	$160.61	$402.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.67 / $119.88 / $119.88	Professional	50	$38.67	$119.88	$119.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.24 / $285.52 / $465.38	Professional		$145.24	$285.52	$465.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.27 / $265.92 / $420.79	Professional		$192.27	$265.92	$420.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.44 / $241.00 / $395.51	Facility		$154.44	$241.00	$395.51
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $309.63 / $361.50 / $588.91	Facility	50	$309.63	$361.50	$588.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $206.42 / $206.42 / $390.21	Professional		$206.42	$206.42	$390.21
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $309.63 / $309.63 / $309.63	Professional	50	$309.63	$309.63	$309.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $288.30 / $396.70	Professional		$5.00	$288.30	$396.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $223.29 / $430.82	Professional		$155.88	$223.29	$430.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $5,194.52 / $16,394.00	Facility		$882.00	$5,194.52	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,496.46 / $2,496.46 / $2,496.46	Professional		$2,496.46	$2,496.46	$2,496.46