Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.92 / $1,752.30 / $6,953.60	Facility		$329.92	$1,752.30	$6,953.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,575.13 / $12,575.13 / $12,575.13	Facility	50	$12,575.13	$12,575.13	$12,575.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.33 / $751.02 / $2,251.92	Professional		$310.33	$751.02	$2,251.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,515.77 / $1,515.77 / $1,515.77	Professional	50	$1,515.77	$1,515.77	$1,515.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.59 / $2,336.42 / $3,906.20	Professional		$617.59	$2,336.42	$3,906.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $555.64 / $555.64	Facility		$555.64	$555.64	$555.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.07 / $1,245.95 / $3,754.65	Professional		$398.07	$1,245.95	$3,754.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $310.33 / $1,654.44 / $2,688.16	Facility		$310.33	$1,654.44	$2,688.16
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,034.76 / $3,066.54 / $5,037.89	Facility	50	$1,034.76	$3,066.54	$5,037.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,778.00 / $1,778.00 / $2,531.88	Professional		$1,778.00	$1,778.00	$2,531.88
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $3,066.54 / $3,066.54 / $8,302.29	Professional	50	$3,066.54	$3,066.54	$8,302.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $413.55 / $745.87 / $3,376.36	Professional		$413.55	$745.87	$3,376.36
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 $1,474.62 / $2,259.61 / $4,055.21	Professional		$1,474.62	$2,259.61	$4,055.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,934.20 / $2,934.20	Facility		$55.00	$2,934.20	$2,934.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,958.06 / $11,140.80 / $13,352.55	Professional		$5,958.06	$11,140.80	$13,352.55