Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.92 / $1,476.75 / $9,630.40	Facility		$722.92	$1,476.75	$9,630.40
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $542.19 / $773.52 / $1,107.56	Facility	54	$542.19	$773.52	$1,107.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.92 / $875.54 / $1,320.56	Professional		$722.92	$875.54	$1,320.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.00 / $1,484.46 / $2,520.92	Professional		$776.00	$1,484.46	$2,520.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $726.88 / $1,265.10 / $2,523.46	Professional		$726.88	$1,265.10	$2,523.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $676.52 / $1,312.64 / $1,384.46	Facility		$676.52	$1,312.64	$1,384.46
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $175.71 / $262.52 / $262.52	Facility	80	$175.71	$262.52	$262.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,172.00 / $1,172.00 / $1,312.64	Professional		$1,172.00	$1,172.00	$1,312.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $7,092.78 / $7,092.78 / $7,092.78	Facility		$7,092.78	$7,092.78	$7,092.78
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $864.07 / $1,048.58 / $1,974.40	Professional		$864.07	$1,048.58	$1,974.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,879.05	Facility		$55.00	$55.00	$11,879.05
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,005.66 / $1,129.85 / $7,881.75	Facility	54	$1,005.66	$1,129.85	$7,881.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,714.27 / $5,129.03 / $5,129.03	Professional		$4,714.27	$5,129.03	$5,129.03