Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.87 / $1,245.00 / $4,311.00	Facility		$133.87	$1,245.00	$4,311.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $661.10 / $661.10 / $661.10	Facility	50	$661.10	$661.10	$661.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $134.10 / $217.76	Professional		$77.58	$134.10	$217.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.58 / $159.58 / $161.91	Facility		$159.58	$159.58	$161.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.01 / $230.31 / $370.51	Professional		$130.01	$230.31	$370.51
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 $101.56 / $181.26 / $316.62	Professional		$101.56	$181.26	$316.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.58 / $147.51 / $203.20	Facility		$77.58	$147.51	$203.20
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $211.09 / $302.36 / $399.54	Facility	50	$211.09	$302.36	$399.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $183.00 / $201.57	Professional		$170.00	$183.00	$201.57
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $302.36 / $302.36 / $302.36	Professional	50	$302.36	$302.36	$302.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $139.38 / $238.03	Professional		$111.55	$139.38	$238.03
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 $115.63 / $186.89 / $318.66	Professional		$115.63	$186.89	$318.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $370.50 / $370.50	Facility		$55.00	$370.50	$370.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $568.40 / $629.54 / $1,099.13	Professional		$568.40	$629.54	$1,099.13