Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.69 / $269.60 / $7,724.00	Facility		$116.69	$269.60	$7,724.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $186.38 / $331.19	Professional		$114.95	$186.38	$331.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $286.20 / $786.72 / $797.85	Professional	50	$286.20	$786.72	$797.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.18 / $259.74 / $498.66	Professional		$169.18	$259.74	$498.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $240.93 / $403.23	Professional		$138.57	$240.93	$403.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.69 / $209.00 / $363.09	Facility		$116.69	$209.00	$363.09
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $246.00 / $344.34 / $665.57	Facility	50	$246.00	$344.34	$665.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.56 / $229.56 / $465.31	Professional		$229.56	$229.56	$465.31
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $344.34 / $344.34 / $344.34	Professional	50	$344.34	$344.34	$344.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $178.20 / $514.10	Professional		$4.00	$178.20	$514.10
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.94 / $243.03 / $516.35	Professional		$177.94	$243.03	$516.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $696.80 / $696.80 / $11,500.00	Facility		$696.80	$696.80	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $880.88 / $1,367.60 / $1,605.15	Professional		$880.88	$1,367.60	$1,605.15