Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.93 / $4,311.00 / $7,376.76	Facility		$227.93	$4,311.00	$7,376.76
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.52 / $48.41 / $82.63	Facility	53	$29.52	$48.41	$82.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $328.46 / $780.82	Professional		$147.61	$328.46	$780.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.09 / $481.88 / $706.86	Professional		$250.09	$481.88	$706.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.26 / $333.14 / $749.10	Professional		$218.26	$333.14	$749.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.61 / $326.89 / $614.53	Facility		$147.61	$326.89	$614.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $319.79 / $319.79 / $813.12	Professional		$319.79	$319.79	$813.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $339.50 / $997.50	Professional		$4.00	$339.50	$997.50
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 $264.24 / $350.90 / $945.34	Professional		$264.24	$350.90	$945.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $861.10 / $861.10 / $12,000.00	Facility		$861.10	$861.10	$12,000.00
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $148.02 / $148.02 / $148.02	Facility	53	$148.02	$148.02	$148.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,568.00 / $2,426.80 / $2,867.70	Professional		$1,568.00	$2,426.80	$2,867.70