Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.83 / $2,808.40 / $6,446.00	Facility		$848.83	$2,808.40	$6,446.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,681.28 / $6,038.00 / $6,038.00	Facility	50	$2,681.28	$6,038.00	$6,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.50 / $505.26 / $1,071.15	Professional		$150.50	$505.26	$1,071.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $276.45 / $636.87	Professional		$276.45	$276.45	$636.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.23 / $1,047.23 / $1,659.11	Professional		$272.23	$1,047.23	$1,659.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.14 / $707.46 / $1,413.14	Professional		$208.14	$707.46	$1,413.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.32 / $505.26 / $977.71	Facility		$152.32	$505.26	$977.71
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $462.59 / $1,328.34 / $1,811.61	Facility	50	$462.59	$1,328.34	$1,811.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $885.56 / $885.56 / $1,503.90	Professional		$885.56	$885.56	$1,503.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,020.64 / $4,392.71 / $6,353.08	Facility		$4,020.64	$4,392.71	$6,353.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $217.34 / $693.76 / $892.40	Professional		$217.34	$693.76	$892.40
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 $586.80 / $914.49 / $1,574.35	Professional		$586.80	$914.49	$1,574.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $885.27 / $885.27	Facility		$55.00	$885.27	$885.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,797.60 / $3,464.32 / $4,033.05	Professional		$1,797.60	$3,464.32	$4,033.05