Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.90 / $746.26 / $10,561.00	Facility		$190.90	$746.26	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.90 / $467.08 / $545.87	Professional		$190.90	$467.08	$545.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.06 / $647.74 / $1,287.08	Professional		$332.06	$647.74	$1,287.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.48 / $333.48 / $333.48	Facility		$333.48	$333.48	$333.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.25 / $612.96 / $1,243.15	Professional		$252.25	$612.96	$1,243.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.90 / $503.93 / $841.64	Facility		$190.90	$503.93	$841.64
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $662.06 / $1,010.42 / $1,659.97	Facility	50	$662.06	$1,010.42	$1,659.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $673.61 / $673.61 / $673.61	Professional		$673.61	$673.61	$673.61
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,010.42 / $1,010.42 / $1,010.42	Professional	50	$1,010.42	$1,010.42	$1,010.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $563.10 / $1,291.09	Professional		$5.00	$563.10	$1,291.09
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 $452.05 / $735.81 / $1,261.06	Professional		$452.05	$735.81	$1,261.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,348.68 / $1,348.68	Facility		$55.00	$1,348.68	$1,348.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,438.80 / $1,625.10 / $4,207.00	Professional		$1,438.80	$1,625.10	$4,207.00