Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.88 / $642.14 / $4,311.00	Facility		$131.88	$642.14	$4,311.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $185.00 / $783.32 / $1,284.28	Facility	50	$185.00	$783.32	$1,284.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.22 / $156.05 / $284.86	Professional		$114.22	$156.05	$284.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $187.85 / $407.51 / $953.75	Professional	50	$187.85	$407.51	$953.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.52 / $116.52 / $118.22	Facility		$116.52	$116.52	$118.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.15 / $237.94 / $389.52	Professional		$156.15	$237.94	$389.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.02 / $136.02 / $395.75	Facility		$136.02	$136.02	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.27 / $202.90 / $330.81	Professional		$140.27	$202.90	$330.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.22 / $199.92 / $298.05	Facility		$114.22	$199.92	$298.05
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $253.68 / $387.21 / $450.98	Facility	50	$253.68	$387.21	$450.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $162.00 / $203.94	Professional		$162.00	$162.00	$203.94
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $305.91 / $305.91 / $305.91	Professional	50	$305.91	$305.91	$305.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $181.30 / $222.05	Professional		$101.19	$181.30	$222.05
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 $119.94 / $182.13 / $320.19	Professional		$119.94	$182.13	$320.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $605.05 / $605.05	Facility		$55.00	$605.05	$605.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,415.00 / $1,528.92 / $1,721.89	Professional		$1,415.00	$1,528.92	$1,721.89