Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $2,675.00 / $7,968.00	Facility		$140.00	$2,675.00	$7,968.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,206.92 / $12,206.92 / $12,206.92	Facility	50	$12,206.92	$12,206.92	$12,206.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $1,656.13 / $3,799.61	Professional		$140.00	$1,656.13	$3,799.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,679.04 / $1,679.04 / $1,679.04	Professional	50	$1,679.04	$1,679.04	$1,679.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.32 / $2,693.29 / $8,995.83	Professional		$254.32	$2,693.29	$8,995.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.60 / $535.57 / $5,396.51	Professional		$208.60	$535.57	$5,396.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $1,665.05 / $5,067.60	Facility		$140.00	$1,665.05	$5,067.60
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $415.35 / $7,601.42 / $7,601.42	Facility	50	$415.35	$7,601.42	$7,601.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,698.35 / $4,698.35 / $5,067.60	Professional		$4,698.35	$4,698.35	$5,067.60
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $7,601.42 / $7,601.42 / $7,601.42	Professional	50	$7,601.42	$7,601.42	$7,601.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $519.50 / $5,110.50	Professional		$5.00	$519.50	$5,110.50
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 $1,821.23 / $3,805.44 / $6,052.83	Professional		$1,821.23	$3,805.44	$6,052.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,612.14 / $2,612.14 / $5,897.00	Facility		$2,612.14	$2,612.14	$5,897.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,404.99 / $11,404.99 / $19,319.00	Professional		$11,404.99	$11,404.99	$19,319.00