Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.06 / $326.60 / $3,670.53	Facility		$109.06	$326.60	$3,670.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,832.14 / $1,832.14 / $4,729.50	Facility	50	$1,832.14	$1,832.14	$4,729.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $109.06 / $231.80	Professional		$53.82	$109.06	$231.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $80.73 / $204.82 / $737.28	Professional	50	$80.73	$204.82	$737.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.79 / $195.46 / $326.91	Professional		$99.79	$195.46	$326.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.03 / $121.03 / $395.75	Facility		$121.03	$121.03	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $152.69 / $282.04	Professional		$80.19	$152.69	$282.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.43 / $143.00 / $231.66	Facility		$55.43	$143.00	$231.66
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $182.45 / $243.00 / $369.71	Facility	50	$182.45	$243.00	$369.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $163.00 / $163.00	Professional		$141.00	$163.00	$163.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $240.77 / $240.77 / $240.77	Professional	50	$240.77	$240.77	$240.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $99.79 / $191.47	Professional		$65.48	$99.79	$191.47
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 $100.16 / $159.03 / $283.04	Professional		$100.16	$159.03	$283.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $302.38 / $302.38	Facility		$55.00	$302.38	$302.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,367.00 / $1,367.00 / $1,367.00	Professional		$1,367.00	$1,367.00	$1,367.00