Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.35 / $1,613.43 / $7,278.00	Facility		$306.35	$1,613.43	$7,278.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,947.50 / $1,947.50 / $1,947.50	Facility	50	$1,947.50	$1,947.50	$1,947.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.92 / $960.96 / $1,996.30	Professional		$275.92	$960.96	$1,996.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.73 / $2,084.02 / $3,596.62	Professional		$547.73	$2,084.02	$3,596.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.50 / $482.50 / $482.50	Facility		$482.50	$482.50	$482.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.56 / $1,036.09 / $3,189.26	Professional		$368.56	$1,036.09	$3,189.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $275.92 / $1,318.43 / $2,251.15	Facility		$275.92	$1,318.43	$2,251.15
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $935.37 / $2,823.51 / $4,126.31	Facility	50	$935.37	$2,823.51	$4,126.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,506.00 / $1,506.00 / $2,331.48	Professional		$1,506.00	$1,506.00	$2,331.48
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,823.51 / $2,823.51 / $6,616.11	Professional	50	$2,823.51	$2,823.51	$6,616.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $377.44 / $1,109.91 / $2,522.46	Professional		$377.44	$1,109.91	$2,522.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,393.00 / $9,447.00 / $14,257.00	Facility		$1,393.00	$9,447.00	$14,257.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,256.02 / $2,103.69 / $3,297.99	Professional		$1,256.02	$2,103.69	$3,297.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,228.54 / $2,228.54	Facility		$55.00	$2,228.54	$2,228.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,525.18 / $8,472.40 / $10,117.95	Professional		$4,525.18	$8,472.40	$10,117.95