Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.86 / $6,384.00 / $8,609.42	Facility		$815.86	$6,384.00	$8,609.42
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,369.68 / $11,387.26 / $16,031.72	Facility	50	$8,369.68	$11,387.26	$16,031.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.86 / $560.85 / $1,098.00	Professional		$393.86	$560.85	$1,098.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $462.55 / $700.23 / $927.33	Professional		$462.55	$700.23	$927.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.42 / $818.46 / $1,342.49	Professional		$564.42	$818.46	$1,342.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.77 / $763.76 / $1,371.83	Professional		$478.77	$763.76	$1,371.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $453.27 / $626.24 / $1,135.34	Facility		$453.27	$626.24	$1,135.34
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $803.28 / $948.05 / $2,015.90	Facility	50	$803.28	$948.05	$2,015.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $632.03 / $632.03 / $1,429.23	Professional		$632.03	$632.03	$1,429.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $592.29 / $719.53 / $1,086.80	Professional		$592.29	$719.53	$1,086.80
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 $421.91 / $667.23 / $1,433.84	Professional		$421.91	$667.23	$1,433.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,301.42 / $2,301.42 / $26,542.00	Facility		$2,301.42	$2,301.42	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,310.40 / $4,095.36 / $4,958.93	Professional		$3,310.40	$4,095.36	$4,958.93