Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $131.21 / $1,245.00	Facility		$49.50	$131.21	$1,245.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $364.15 / $364.15 / $364.15	Facility	50	$364.15	$364.15	$364.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $76.19 / $209.10	Professional		$49.50	$76.19	$209.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.37 / $343.83 / $343.83	Professional	50	$118.37	$343.83	$343.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $189.32 / $329.43	Professional		$81.91	$189.32	$329.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $125.91 / $232.32	Professional		$70.48	$125.91	$232.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $114.72 / $218.17	Facility		$49.50	$114.72	$218.17
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $110.43 / $199.50 / $309.57	Facility	50	$110.43	$199.50	$309.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $163.88 / $196.03	Professional		$163.88	$163.88	$196.03
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $245.82 / $245.82 / $245.82	Professional	50	$245.82	$245.82	$245.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $114.70 / $327.10	Professional		$5.00	$114.70	$327.10
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $833.00 / $1,928.00	Facility		$361.00	$833.00	$1,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $146.78 / $257.19	Professional		$76.93	$146.78	$257.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $354.00 / $354.00	Facility		$55.00	$354.00	$354.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $374.24 / $675.70 / $675.70	Professional		$374.24	$675.70	$675.70