Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.13 / $5,318.71 / $19,971.21	Facility		$726.13	$5,318.71	$19,971.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,365.79 / $8,365.79 / $13,298.89	Facility	50	$8,365.79	$8,365.79	$13,298.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.89 / $726.13 / $1,475.15	Professional		$556.89	$726.13	$1,475.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.67 / $1,292.23 / $2,062.51	Professional		$859.67	$1,292.23	$2,062.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.58 / $1,066.09 / $1,799.35	Professional		$654.58	$1,066.09	$1,799.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $556.89 / $1,165.60 / $1,833.21	Facility		$556.89	$1,165.60	$1,833.21
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,105.84 / $1,990.50 / $2,827.50	Facility	50	$1,105.84	$1,990.50	$2,827.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,226.30 / $1,226.30 / $1,828.83	Professional		$1,226.30	$1,226.30	$1,828.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $9,375.29 / $9,375.29 / $9,375.29	Facility		$9,375.29	$9,375.29	$9,375.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,150.50 / $1,917.00	Professional		$5.00	$1,150.50	$1,917.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.16 / $1,019.42 / $2,140.67	Professional		$728.16	$1,019.42	$2,140.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,931.68 / $3,931.68 / $12,131.00	Facility		$3,931.68	$3,931.68	$12,131.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $7,060.12 / $7,060.12	Professional		$5,000.00	$7,060.12	$7,060.12