Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.32 / $842.22 / $8,442.00	Facility		$177.32	$842.22	$8,442.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.66 / $147.13 / $449.19	Facility	52	$88.66	$147.13	$449.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.32 / $538.65 / $808.59	Professional		$177.32	$538.65	$808.59
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $88.66 / $298.85 / $407.29	Professional	52	$88.66	$298.85	$407.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.47 / $975.92 / $1,611.13	Professional		$304.47	$975.92	$1,611.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.71 / $625.36 / $1,265.34	Professional		$236.71	$625.36	$1,265.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.10 / $675.40 / $1,269.00	Facility		$179.10	$675.40	$1,269.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $747.73 / $747.73 / $747.73	Professional		$747.73	$747.73	$747.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,289.50 / $1,289.50 / $1,289.50	Professional		$1,289.50	$1,289.50	$1,289.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,257.00	Facility		$3,366.00	$9,541.00	$14,257.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.26 / $850.09 / $1,589.30	Professional		$565.26	$850.09	$1,589.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $859.61 / $859.61	Facility		$55.00	$859.61	$859.61
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $687.69 / $687.69 / $687.69	Facility	52	$687.69	$687.69	$687.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,434.00 / $4,779.22 / $5,225.72	Professional		$3,434.00	$4,779.22	$5,225.72