Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.50 / $5,972.92 / $9,235.82	Facility		$588.50	$5,972.92	$9,235.82
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,109.68 / $7,867.41 / $11,039.76	Facility	50	$5,109.68	$7,867.41	$11,039.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.38 / $508.42 / $1,108.35	Professional		$358.38	$508.42	$1,108.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $349.48 / $427.86 / $711.72	Professional		$349.48	$427.86	$711.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.77 / $745.13 / $1,209.15	Professional		$510.77	$745.13	$1,209.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.60 / $691.06 / $1,235.29	Professional		$435.60	$691.06	$1,235.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $408.54 / $569.20 / $1,004.86	Facility		$408.54	$569.20	$1,004.86
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $666.00 / $853.80 / $1,829.20	Facility	50	$666.00	$853.80	$1,829.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $569.20 / $569.20 / $1,291.21	Professional		$569.20	$569.20	$1,291.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $538.10 / $650.98 / $980.30	Professional		$538.10	$650.98	$980.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.06 / $611.89 / $1,292.79	Professional		$429.06	$611.89	$1,292.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,089.53 / $2,089.53 / $26,542.00	Facility		$2,089.53	$2,089.53	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,998.80 / $3,719.28 / $4,492.20	Professional		$2,998.80	$3,719.28	$4,492.20