Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.08 / $2,010.51 / $5,177.00	Facility		$604.08	$2,010.51	$5,177.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,262.19 / $5,177.00 / $7,765.50	Facility	50	$3,262.19	$5,177.00	$7,765.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.67 / $504.38 / $1,052.31	Professional		$96.67	$504.38	$1,052.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $789.23 / $2,548.73 / $2,548.73	Professional	50	$789.23	$2,548.73	$2,548.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.02 / $539.75 / $1,243.29	Professional		$162.02	$539.75	$1,243.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $344.29 / $1,252.89	Professional		$131.72	$344.29	$1,252.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $604.08 / $963.38	Facility		$96.67	$604.08	$963.38
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $293.87 / $946.74 / $1,963.81	Facility	50	$293.87	$946.74	$1,963.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $631.16 / $631.16 / $1,408.92	Professional		$631.16	$631.16	$1,408.92
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $946.74 / $946.74 / $946.74	Professional	50	$946.74	$946.74	$946.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $140.69 / $1,720.30	Professional		$6.00	$140.69	$1,720.30
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.69 / $698.85 / $1,492.59	Professional		$475.69	$698.85	$1,492.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,042.07 / $1,042.07	Facility		$55.00	$1,042.07	$1,042.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,115.98 / $4,093.84 / $4,811.03	Professional		$2,115.98	$4,093.84	$4,811.03