Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.25 / $3,055.25 / $8,583.00	Facility		$317.25	$3,055.25	$8,583.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,464.43 / $5,114.25 / $12,684.00	Facility	50	$1,464.43	$5,114.25	$12,684.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.25 / $367.08 / $634.97	Professional		$317.25	$367.08	$634.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $483.32 / $859.65 / $1,303.64	Professional	50	$483.32	$859.65	$1,303.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.52 / $711.25 / $1,106.86	Professional		$458.52	$711.25	$1,106.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.69 / $613.16 / $1,014.69	Professional		$418.69	$613.16	$1,014.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $317.25 / $621.30 / $1,140.00	Facility		$317.25	$621.30	$1,140.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $779.58 / $1,193.89 / $1,710.00	Facility	50	$779.58	$1,193.89	$1,710.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $519.72 / $519.72 / $803.11	Professional		$519.72	$519.72	$803.11
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $779.58 / $779.58 / $779.58	Professional	50	$779.58	$779.58	$779.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $707.70 / $852.70	Professional		$5.00	$707.70	$852.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.07 / $512.79 / $906.66	Professional		$322.07	$512.79	$906.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,779.78 / $13,759.35 / $26,542.00	Facility		$1,779.78	$13,759.35	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,125.60 / $6,125.60 / $6,125.60	Professional		$6,125.60	$6,125.60	$6,125.60