Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.06 / $4,204.30 / $9,345.26	Facility		$466.06	$4,204.30	$9,345.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,887.52 / $6,384.00 / $6,384.00	Facility	50	$3,887.52	$6,384.00	$6,384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.98 / $735.66 / $1,512.66	Professional		$296.98	$735.66	$1,512.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $814.25 / $1,419.14 / $2,339.40	Professional	50	$814.25	$1,419.14	$2,339.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.94 / $1,347.35 / $2,313.17	Professional		$482.94	$1,347.35	$2,313.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $8,955.09	Facility		$606.10	$606.10	$8,955.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.09 / $856.38 / $1,933.60	Professional		$403.09	$856.38	$1,933.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $296.98 / $862.85 / $1,868.91	Facility		$296.98	$862.85	$1,868.91
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,006.76 / $1,549.50 / $2,493.89	Facility	50	$1,006.76	$1,549.50	$2,493.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $1,019.00 / $1,336.33	Professional		$579.00	$1,019.00	$1,336.33
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,004.50 / $2,004.50 / $2,004.50	Professional	50	$2,004.50	$2,004.50	$2,004.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $947.30 / $2,444.50	Professional		$5.00	$947.30	$2,444.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $670.66 / $1,178.93 / $1,964.88	Professional		$670.66	$1,178.93	$1,964.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,067.54 / $2,067.54 / $26,542.00	Facility		$2,067.54	$2,067.54	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,703.80 / $7,831.06 / $8,263.84	Professional		$2,703.80	$7,831.06	$8,263.84