Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.74 / $1,694.72 / $7,724.00	Facility		$174.74	$1,694.72	$7,724.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,704.74 / $1,704.74 / $5,639.00	Facility	50	$1,704.74	$1,704.74	$5,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $1,297.67 / $3,831.30	Professional		$174.74	$1,297.67	$3,831.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,695.62 / $7,548.71 / $7,548.71	Professional	50	$5,695.62	$7,548.71	$7,548.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.52 / $4,061.48 / $9,081.12	Professional		$317.52	$4,061.48	$9,081.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.85 / $654.73 / $5,516.42	Professional		$259.85	$654.73	$5,516.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.74 / $1,709.32 / $5,115.66	Facility		$174.74	$1,709.32	$5,115.66
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $518.98 / $7,673.49 / $7,673.49	Facility	50	$518.98	$7,673.49	$7,673.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,797.70 / $4,797.70 / $5,115.66	Professional		$4,797.70	$4,797.70	$5,115.66
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $7,673.49 / $7,673.49 / $7,673.49	Professional	50	$7,673.49	$7,673.49	$7,673.49
Medcost Facility/Professional Professional Modifier AS Low / Median / High Price $716.19 / $716.19 / $716.19	Professional	AS	$716.19	$716.19	$716.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $899.10 / $5,173.30	Professional		$5.00	$899.10	$5,173.30
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 $1,857.08 / $3,776.55 / $6,111.62	Professional		$1,857.08	$3,776.55	$6,111.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,916.93 / $2,916.93 / $5,897.00	Facility		$2,916.93	$2,916.93	$5,897.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,504.89 / $11,504.89 / $19,483.16	Professional		$11,504.89	$11,504.89	$19,483.16