Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.98 / $3,145.75 / $10,561.00	Facility		$249.98	$3,145.75	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.71 / $3,145.75 / $4,356.46	Professional		$249.71	$3,145.75	$4,356.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,896.19 / $6,180.29 / $6,629.49	Professional	50	$5,896.19	$6,180.29	$6,629.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.58 / $4,468.60 / $10,621.55	Professional		$421.58	$4,468.60	$10,621.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.57 / $4,203.77 / $8,095.85	Professional		$321.57	$4,203.77	$8,095.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $249.98 / $3,145.75 / $6,010.64	Facility		$249.98	$3,145.75	$6,010.64
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $740.11 / $7,734.41 / $11,248.21	Facility	50	$740.11	$7,734.41	$11,248.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,156.27 / $5,156.27 / $9,031.78	Professional		$5,156.27	$5,156.27	$9,031.78
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $7,734.41 / $7,734.41 / $7,734.41	Professional	50	$7,734.41	$7,734.41	$7,734.41
Medcost Facility/Professional Professional Modifier AS Low / Median / High Price $721.88 / $721.88 / $721.88	Professional	AS	$721.88	$721.88	$721.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $9,054.79	Professional		$5.00	$5.00	$9,054.79
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 $3,471.89 / $5,456.91 / $8,769.50	Professional		$3,471.89	$5,456.91	$8,769.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,735.56 / $1,735.56 / $5,897.00	Facility		$1,735.56	$1,735.56	$5,897.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,142.77 / $21,145.72 / $24,951.75	Professional		$11,142.77	$21,145.72	$24,951.75