Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.94 / $1,632.20 / $5,177.00	Facility		$254.94	$1,632.20	$5,177.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $573.16 / $5,205.14 / $5,841.52	Facility	50	$573.16	$5,205.14	$5,841.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $197.18 / $534.11	Professional		$63.06	$197.18	$534.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $92.96 / $289.02 / $801.16	Professional	50	$92.96	$289.02	$801.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $324.93 / $464.59	Professional		$101.60	$324.93	$464.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $209.87 / $459.07	Professional		$88.04	$209.87	$459.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $254.94 / $326.99	Facility		$65.78	$254.94	$326.99
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $232.86 / $408.60 / $721.54	Facility	50	$232.86	$408.60	$721.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $232.00 / $320.00	Professional		$232.00	$232.00	$320.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $408.60 / $408.60 / $408.60	Professional	50	$408.60	$408.60	$408.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,379.06 / $2,379.06 / $2,379.06	Facility		$2,379.06	$2,379.06	$2,379.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.32 / $333.10 / $420.10	Professional		$93.32	$333.10	$420.10
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 $163.81 / $283.16 / $587.29	Professional		$163.81	$283.16	$587.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $457.41 / $457.41	Facility		$55.00	$457.41	$457.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $928.79 / $2,060.00 / $2,093.33	Professional		$928.79	$2,060.00	$2,093.33