Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.57 / $1,067.96 / $5,177.00	Facility		$197.57	$1,067.96	$5,177.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,675.04 / $2,180.66 / $3,350.08	Facility	50	$1,675.04	$2,180.66	$3,350.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $207.71 / $475.32	Professional		$115.94	$207.71	$475.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.09 / $793.92 / $1,212.03	Professional	50	$36.09	$793.92	$1,212.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.01 / $314.89 / $539.45	Professional		$209.01	$314.89	$539.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.01 / $292.01 / $395.75	Facility		$292.01	$292.01	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.37 / $281.80 / $444.92	Professional		$147.37	$281.80	$444.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.94 / $250.00 / $412.54	Facility		$115.94	$250.00	$412.54
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $313.50 / $410.43 / $695.85	Facility	50	$313.50	$410.43	$695.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $320.00	Professional		$163.00	$163.00	$320.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $413.72 / $413.72 / $413.72	Professional	50	$413.72	$413.72	$413.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.75 / $329.50 / $422.41	Professional		$169.75	$329.50	$422.41
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $279.87 / $503.15	Professional		$166.60	$279.87	$503.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $601.59 / $601.59	Facility		$55.00	$601.59	$601.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,831.00 / $1,831.00 / $2,083.80	Professional		$1,831.00	$1,831.00	$2,083.80