Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.27 / $1,670.40 / $7,439.00	Facility		$154.27	$1,670.40	$7,439.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,338.86 / $1,338.86 / $1,338.86	Facility	50	$1,338.86	$1,338.86	$1,338.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.27 / $1,670.40 / $2,243.69	Professional		$154.27	$1,670.40	$2,243.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,035.23 / $1,552.85 / $3,281.72	Professional	50	$1,035.23	$1,552.85	$3,281.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.33 / $2,244.40 / $5,519.18	Professional		$274.33	$2,244.40	$5,519.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.73 / $546.05 / $4,225.12	Professional		$221.73	$546.05	$4,225.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.27 / $1,680.82 / $3,491.14	Facility		$154.27	$1,680.82	$3,491.14
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $456.48 / $4,098.47 / $5,983.78	Facility	50	$456.48	$4,098.47	$5,983.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,732.31 / $2,732.31 / $4,734.31	Professional		$2,732.31	$2,732.31	$4,734.31
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $4,098.47 / $4,098.47 / $4,098.47	Professional	50	$4,098.47	$4,098.47	$4,098.47
Medcost Facility/Professional Professional Modifier 80 Low / Median / High Price $546.46 / $546.46 / $546.46	Professional	80	$546.46	$546.46	$546.46
Medcost Facility/Professional Professional Modifier AS Low / Median / High Price $382.52 / $382.52 / $382.52	Professional	AS	$382.52	$382.52	$382.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $373.30 / $5,102.00	Professional		$5.00	$373.30	$5,102.00
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 $1,801.49 / $2,547.17 / $4,874.99	Professional		$1,801.49	$2,547.17	$4,874.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,076.76 / $1,076.76 / $5,897.00	Facility		$1,076.76	$1,076.76	$5,897.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,132.65 / $11,235.92 / $13,289.25	Professional		$6,132.65	$11,235.92	$13,289.25