Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.67 / $2,983.42 / $10,034.00	Facility		$237.67	$2,983.42	$10,034.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.33 / $5,017.00 / $5,167.89	Facility	50	$1,288.33	$5,017.00	$5,167.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.67 / $343.76 / $681.39	Professional		$237.67	$343.76	$681.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $124.76 / $196.52 / $640.09	Professional	50	$124.76	$196.52	$640.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.60 / $516.14 / $806.40	Professional		$295.60	$516.14	$806.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.22 / $483.68 / $911.17	Professional		$323.22	$483.68	$911.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $237.67 / $438.19 / $944.00	Facility		$237.67	$438.19	$944.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $529.95 / $798.00 / $1,592.70	Facility	50	$529.95	$798.00	$1,592.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $353.30 / $353.30 / $1,045.94	Professional		$353.30	$353.30	$1,045.94
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $529.95 / $529.95 / $529.95	Professional	50	$529.95	$529.95	$529.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $484.90 / $1,169.40	Professional		$5.00	$484.90	$1,169.40
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 $270.13 / $438.60 / $1,145.45	Professional		$270.13	$438.60	$1,145.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,653.72 / $1,653.72 / $26,542.00	Facility		$1,653.72	$1,653.72	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,389.00 / $4,486.05 / $4,486.05	Professional		$4,389.00	$4,486.05	$4,486.05