Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.52 / $1,350.00 / $4,311.00	Facility		$227.52	$1,350.00	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $287.27 / $506.72	Professional		$139.37	$287.27	$506.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.20 / $444.19 / $1,055.61	Professional		$242.20	$444.19	$1,055.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $1,587.44	Facility		$606.10	$606.10	$1,587.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.36 / $431.27 / $861.11	Professional		$183.36	$431.27	$861.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.10 / $385.28 / $550.40	Facility		$143.10	$385.28	$550.40
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $506.57 / $825.60 / $1,125.61	Facility	50	$506.57	$825.60	$1,125.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $492.00 / $492.00 / $550.40	Professional		$492.00	$492.00	$550.40
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $825.60 / $825.60 / $825.60	Professional	50	$825.60	$825.60	$825.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $230.06 / $603.70	Professional		$3.00	$230.06	$603.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.93 / $551.38 / $967.64	Professional		$354.93	$551.38	$967.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $732.83 / $732.83	Facility		$55.00	$732.83	$732.83
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $305.30 / $586.26 / $586.26	Facility	52	$305.30	$586.26	$586.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,076.64 / $1,213.58 / $3,207.75	Professional		$1,076.64	$1,213.58	$3,207.75