Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.15 / $408.18 / $7,278.00	Facility		$144.15	$408.18	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.15 / $258.05 / $394.91	Professional		$144.15	$258.05	$394.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $459.93 / $825.59 / $825.59	Professional	50	$459.93	$825.59	$825.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.69 / $459.41 / $724.78	Professional		$243.69	$459.41	$724.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.51 / $333.02 / $602.04	Professional		$189.51	$333.02	$602.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.15 / $308.35 / $476.54	Facility		$144.15	$308.35	$476.54
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $405.98 / $535.73 / $1,027.14	Facility	50	$405.98	$535.73	$1,027.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $357.15 / $357.15 / $683.08	Professional		$357.15	$357.15	$683.08
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $535.73 / $535.73 / $535.73	Professional	50	$535.73	$535.73	$535.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $446.10 / $766.30	Professional		$6.00	$446.10	$766.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.79 / $373.03 / $773.28	Professional		$254.79	$373.03	$773.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,185.24 / $1,185.24	Facility		$55.00	$1,185.24	$1,185.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,087.94 / $1,246.50 / $2,403.44	Professional		$1,087.94	$1,246.50	$2,403.44