Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.01 / $1,247.45 / $7,724.00	Facility		$148.01	$1,247.45	$7,724.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $549.78 / $549.78 / $3,292.90	Facility	50	$549.78	$549.78	$3,292.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $148.01 / $264.54	Professional		$129.33	$148.01	$264.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.44 / $266.05 / $409.47	Professional		$170.44	$266.05	$409.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.83 / $245.91 / $382.82	Professional		$173.83	$245.91	$382.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.44 / $215.54 / $376.49	Facility		$145.44	$215.54	$376.49
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $215.67 / $367.50 / $564.74	Facility	50	$215.67	$367.50	$564.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $366.56	Professional		$186.93	$186.93	$366.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $217.90 / $394.60	Professional		$4.00	$217.90	$394.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.24 / $201.94 / $427.74	Professional		$144.24	$201.94	$427.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $701.50 / $7,909.30 / $26,542.00	Facility		$701.50	$7,909.30	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,102.80 / $1,102.80 / $1,284.45	Professional		$1,102.80	$1,102.80	$1,284.45