Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.40 / $2,872.25 / $5,449.00	Facility		$74.40	$2,872.25	$5,449.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,133.85 / $2,133.85 / $2,133.85	Facility	50	$2,133.85	$2,133.85	$2,133.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $256.83 / $554.75	Professional		$46.48	$256.83	$554.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.08 / $372.08 / $372.08	Professional	50	$372.08	$372.08	$372.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.17 / $335.54 / $875.49	Professional		$79.17	$335.54	$875.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $80.37	Facility		$80.37	$80.37	$80.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $219.01 / $724.28	Professional		$57.63	$219.01	$724.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.13 / $303.92 / $648.86	Facility		$51.13	$303.92	$648.86
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $126.86 / $721.19 / $1,083.71	Facility	50	$126.86	$721.19	$1,083.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.00 / $404.00 / $555.00	Professional		$309.00	$404.00	$555.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $635.30 / $832.50 / $1,417.70	Professional	50	$635.30	$832.50	$1,417.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.50 / $540.40 / $726.80	Professional		$332.50	$540.40	$726.80
United Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $874.00 / $2,074.00	Facility		$116.00	$874.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.86 / $463.01 / $781.10	Professional		$284.86	$463.01	$781.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $367.35 / $367.35	Facility		$55.00	$367.35	$367.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $903.60 / $2,278.06 / $2,278.06	Professional		$903.60	$2,278.06	$2,278.06