Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.43 / $653.94 / $1,843.27	Facility		$86.43	$653.94	$1,843.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $86.43 / $168.92	Professional		$55.28	$86.43	$168.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.66 / $195.60 / $326.91	Professional	50	$98.66	$195.60	$326.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.27 / $186.20 / $344.32	Professional		$89.27	$186.20	$344.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $74.95 / $395.75	Facility		$74.95	$74.95	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $134.50 / $256.50	Professional		$78.17	$134.50	$256.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.39 / $124.93 / $253.00	Facility		$56.39	$124.93	$253.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $162.34 / $249.92 / $379.50	Facility	50	$162.34	$249.92	$379.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $179.00 / $179.00	Professional		$110.00	$179.00	$179.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $249.92 / $249.92 / $249.92	Professional	50	$249.92	$249.92	$249.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $98.16 / $142.85	Professional		$75.95	$98.16	$142.85
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.61 / $153.10 / $278.20	Professional		$78.61	$153.10	$278.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $268.76 / $268.76	Facility		$55.00	$268.76	$268.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,157.00 / $1,157.00 / $1,157.00	Professional		$1,157.00	$1,157.00	$1,157.00