Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.01 / $1,112.73 / $5,449.00	Facility		$80.01	$1,112.73	$5,449.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,539.62 / $1,539.62 / $1,539.62	Facility	50	$1,539.62	$1,539.62	$1,539.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $197.62 / $324.89	Professional		$74.98	$197.62	$324.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.42 / $220.42 / $311.97	Professional	50	$220.42	$220.42	$311.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.90 / $603.90 / $612.71	Facility		$603.90	$603.90	$612.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.16 / $240.80 / $547.63	Professional		$127.16	$240.80	$547.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $638.03	Facility		$606.10	$606.10	$638.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $234.54 / $473.33	Professional		$101.78	$234.54	$473.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.01 / $225.81 / $285.52	Facility		$80.01	$225.81	$285.52
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $283.24 / $428.30 / $659.83	Facility	50	$283.24	$428.30	$659.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $285.52 / $285.52 / $288.00	Professional		$285.52	$285.52	$288.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $428.30 / $428.30 / $428.30	Professional	50	$428.30	$428.30	$428.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $203.66 / $381.27	Professional		$114.38	$203.66	$381.27
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 $183.75 / $286.01 / $521.09	Professional		$183.75	$286.01	$521.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $404.18 / $404.18	Facility		$55.00	$404.18	$404.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $600.64 / $676.43 / $1,886.00	Professional		$600.64	$676.43	$1,886.00