Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.11 / $1,995.00 / $6,225.95	Facility		$485.11	$1,995.00	$6,225.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,386.13 / $4,386.13 / $4,386.13	Facility	50	$4,386.13	$4,386.13	$4,386.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.26 / $672.19 / $1,009.21	Professional		$463.26	$672.19	$1,009.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.83 / $1,040.78 / $1,803.66	Professional		$699.83	$1,040.78	$1,803.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.10 / $929.99 / $1,615.77	Professional		$568.10	$929.99	$1,615.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $485.11 / $812.33 / $1,335.33	Facility		$485.11	$812.33	$1,335.33
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,052.54 / $1,264.74 / $2,595.03	Facility	50	$1,052.54	$1,264.74	$2,595.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $843.16 / $843.16 / $1,753.41	Professional		$843.16	$843.16	$1,753.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $739.80 / $2,001.80	Professional		$5.00	$739.80	$2,001.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,353.00 / $6,885.00 / $9,616.00	Facility		$2,353.00	$6,885.00	$9,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.78 / $927.13 / $2,001.07	Professional		$668.78	$927.13	$2,001.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,418.20 / $3,418.20 / $16,394.00	Facility		$3,418.20	$3,418.20	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,058.00 / $5,714.48 / $6,247.88	Professional		$5,058.00	$5,714.48	$6,247.88