Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.06 / $192.18 / $5,449.00	Facility		$60.06	$192.18	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $122.20 / $273.23	Professional		$60.06	$122.20	$273.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.25 / $625.00 / $625.00	Professional	50	$144.25	$625.00	$625.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $221.38 / $333.56	Professional		$103.98	$221.38	$333.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $395.75	Facility		$395.75	$395.75	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.32 / $155.88 / $280.19	Professional		$83.32	$155.88	$280.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.26 / $159.55 / $256.36	Facility		$61.26	$159.55	$256.36
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $203.60 / $337.50 / $447.00	Facility	50	$203.60	$337.50	$447.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $139.00 / $400.00	Professional		$139.00	$139.00	$400.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $261.77 / $261.77 / $261.77	Professional	50	$261.77	$261.77	$261.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $121.97 / $226.36	Professional		$84.01	$121.97	$226.36
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.06 / $160.49 / $296.94	Professional		$104.06	$160.49	$296.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $248.34 / $300.25 / $12,000.00	Facility		$248.34	$300.25	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $631.00 / $1,119.15 / $1,278.47	Professional		$631.00	$1,119.15	$1,278.47