Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.48 / $763.47 / $7,278.00	Facility		$175.48	$763.47	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.48 / $477.07 / $836.56	Professional		$175.48	$477.07	$836.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.45 / $830.28 / $1,356.38	Professional		$295.45	$830.28	$1,356.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.18 / $599.92 / $1,111.70	Professional		$231.18	$599.92	$1,111.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.48 / $519.42 / $883.03	Facility		$175.48	$519.42	$883.03
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $519.57 / $1,002.06 / $1,917.56	Facility	50	$519.57	$1,002.06	$1,917.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $668.04 / $668.04 / $1,296.83	Professional		$668.04	$668.04	$1,296.83
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,002.06 / $1,002.06 / $1,002.06	Professional	50	$1,002.06	$1,002.06	$1,002.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $662.90 / $1,449.80	Professional		$6.00	$662.90	$1,449.80
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 $487.32 / $700.10 / $1,470.46	Professional		$487.32	$700.10	$1,470.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,439.06 / $1,439.06	Facility		$55.00	$1,439.06	$1,439.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,924.99 / $3,661.36 / $4,306.50	Professional		$1,924.99	$3,661.36	$4,306.50