Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.31 / $4,148.00 / $7,278.00	Facility		$450.31	$4,148.00	$7,278.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,554.48 / $3,323.18 / $4,731.04	Facility	50	$1,554.48	$3,323.18	$4,731.04
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.22 / $454.09 / $912.48	Facility	52	$99.22	$454.09	$912.48
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $39.69 / $181.64 / $364.99	Facility	53	$39.69	$181.64	$364.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.44 / $762.30 / $1,472.17	Professional		$198.44	$762.30	$1,472.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.74 / $967.82 / $2,059.85	Professional		$353.74	$967.82	$2,059.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.87 / $709.06 / $1,940.29	Professional		$285.87	$709.06	$1,940.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $198.44 / $908.18 / $1,543.91	Facility		$198.44	$908.18	$1,543.91
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $607.26 / $1,698.18 / $3,164.58	Facility	50	$607.26	$1,698.18	$3,164.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,132.11 / $1,132.11 / $2,217.42	Professional		$1,132.11	$1,132.11	$2,217.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $264.60 / $2,561.69	Professional		$6.00	$264.60	$2,561.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.66 / $1,147.22 / $2,434.23	Professional		$808.66	$1,147.22	$2,434.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,601.53 / $1,601.53	Facility		$55.00	$1,601.53	$1,601.53
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $782.54 / $782.54 / $782.54	Facility	52	$782.54	$782.54	$782.54
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $195.63 / $195.63 / $195.63	Facility	53	$195.63	$195.63	$195.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,242.87 / $6,260.24 / $7,329.60	Professional		$3,242.87	$6,260.24	$7,329.60