Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.02 / $2,057.29 / $7,807.14	Facility		$308.02	$2,057.29	$7,807.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,148.00 / $4,148.00 / $4,148.00	Facility	50	$4,148.00	$4,148.00	$4,148.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.38 / $305.91 / $493.09	Professional		$199.38	$305.91	$493.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $299.22 / $299.22 / $453.00	Professional	50	$299.22	$299.22	$453.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.02 / $442.51 / $809.89	Professional		$299.02	$442.51	$809.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.29 / $390.89 / $665.95	Professional		$244.29	$390.89	$665.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.80 / $373.84 / $604.00	Facility		$206.80	$373.84	$604.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $427.27 / $791.34 / $906.96	Facility	50	$427.27	$791.34	$906.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $373.84 / $373.84 / $373.84	Professional		$373.84	$373.84	$373.84
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $560.76 / $560.76 / $560.76	Professional	50	$560.76	$560.76	$560.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $424.80 / $424.80 / $424.80	Professional		$424.80	$424.80	$424.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $3,456.00 / $6,097.00	Facility		$1,258.00	$3,456.00	$6,097.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.01 / $407.50 / $835.63	Professional		$294.01	$407.50	$835.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,376.58 / $1,376.58 / $16,394.00	Facility		$1,376.58	$1,376.58	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,444.56 / $2,350.17 / $2,595.30	Professional		$1,444.56	$2,350.17	$2,595.30