Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $1,615.00 / $1,945.72	Facility		$128.00	$1,615.00	$1,945.72
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,854.07 / $3,854.07 / $3,854.07	Facility	50	$3,854.07	$3,854.07	$3,854.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $189.37 / $415.73	Professional		$72.40	$189.37	$415.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $301.85 / $515.36	Professional		$103.00	$301.85	$515.36
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 $89.96 / $220.36 / $458.11	Professional		$89.96	$220.36	$458.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.23 / $227.26 / $358.75	Facility		$82.23	$227.26	$358.75
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $193.50 / $352.74 / $628.19	Facility	50	$193.50	$352.74	$628.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $227.26 / $229.00 / $400.00	Professional		$227.26	$229.00	$400.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $340.89 / $340.89 / $340.89	Professional	50	$340.89	$340.89	$340.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.78 / $204.62 / $382.04	Professional		$120.78	$204.62	$382.04
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 $175.95 / $278.72 / $586.64	Professional		$175.95	$278.72	$586.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $415.06 / $426.22 / $12,000.00	Facility		$415.06	$426.22	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,998.00 / $1,998.00 / $1,998.00	Professional		$1,998.00	$1,998.00	$1,998.00