Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.49 / $551.60 / $4,311.00	Facility		$96.49	$551.60	$4,311.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $748.34 / $2,756.59 / $3,080.09	Facility	50	$748.34	$2,756.59	$3,080.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $96.49 / $211.90	Professional		$53.14	$96.49	$211.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $283.35 / $401.70 / $451.61	Professional	50	$283.35	$401.70	$451.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.08 / $575.08 / $583.47	Facility		$575.08	$575.08	$583.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.37 / $200.57 / $342.78	Professional		$96.37	$200.57	$342.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $820.28	Facility		$395.75	$395.75	$820.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $141.83 / $269.97	Professional		$77.29	$141.83	$269.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.73 / $133.00 / $243.75	Facility		$54.73	$133.00	$243.75
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $170.10 / $276.83 / $345.00	Facility	50	$170.10	$276.83	$345.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $170.00 / $400.00	Professional		$125.00	$170.00	$400.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $276.83 / $276.83 / $276.83	Professional	50	$276.83	$276.83	$276.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $97.13 / $153.34	Professional		$76.65	$97.13	$153.34
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 $80.69 / $166.79 / $265.93	Professional		$80.69	$166.79	$265.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $269.27 / $292.89 / $12,000.00	Facility		$269.27	$292.89	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,087.00 / $1,087.00 / $1,087.00	Professional		$1,087.00	$1,087.00	$1,087.00