Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.58 / $3,762.00 / $5,177.00	Facility		$858.58	$3,762.00	$5,177.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.96 / $46.77 / $258.62	Facility	53	$29.96	$46.77	$258.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.71 / $409.92 / $1,484.93	Professional		$148.71	$409.92	$1,484.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.14 / $960.60 / $2,354.28	Professional		$220.14	$960.60	$2,354.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.36 / $524.85 / $2,051.98	Professional		$199.36	$524.85	$2,051.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.81 / $858.58 / $1,459.59	Facility		$149.81	$858.58	$1,459.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.76 / $1,148.76 / $2,378.00	Professional		$1,148.76	$1,148.76	$2,378.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.91 / $920.86 / $1,568.40	Professional		$171.91	$920.86	$1,568.40
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 $950.37 / $1,337.64 / $2,585.56	Professional		$950.37	$1,337.64	$2,585.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,191.96 / $1,191.96	Facility		$55.00	$1,191.96	$1,191.96
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $144.50 / $144.50 / $144.50	Facility	53	$144.50	$144.50	$144.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,096.72 / $1,222.20 / $6,888.08	Professional		$1,096.72	$1,222.20	$6,888.08