Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.29 / $1,245.00 / $10,087.00	Facility		$121.29	$1,245.00	$10,087.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.29 / $223.42 / $450.43	Professional		$121.29	$223.42	$450.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $930.91 / $930.91 / $952.06	Professional	50	$930.91	$930.91	$952.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.67 / $769.24 / $1,442.32	Professional		$246.67	$769.24	$1,442.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.33 / $357.02 / $873.13	Professional		$180.33	$357.02	$873.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.29 / $319.82 / $1,143.20	Facility		$121.29	$319.82	$1,143.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $528.14 / $528.14 / $926.20	Professional		$528.14	$528.14	$926.20
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,389.30 / $1,389.30 / $1,389.30	Professional	50	$1,389.30	$1,389.30	$1,389.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $447.10 / $1,035.70	Professional		$5.00	$447.10	$1,035.70
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 $202.09 / $390.61 / $906.70	Professional		$202.09	$390.61	$906.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $852.54 / $852.54 / $26,542.00	Facility		$852.54	$852.54	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,690.00 / $6,427.75 / $6,427.75	Professional		$5,690.00	$6,427.75	$6,427.75