Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,016.38 / $5,994.00 / $8,943.95	Facility		$1,016.38	$5,994.00	$8,943.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $640.24 / $6,523.74 / $11,989.50	Facility	50	$640.24	$6,523.74	$11,989.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.91 / $688.74 / $2,236.62	Professional		$554.91	$688.74	$2,236.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $657.53 / $887.52 / $1,131.34	Professional		$657.53	$887.52	$1,131.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.23 / $1,021.61 / $1,615.58	Professional		$694.23	$1,021.61	$1,615.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.89 / $995.48 / $1,825.47	Professional		$431.89	$995.48	$1,825.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $404.25 / $716.87 / $1,243.44	Facility		$404.25	$716.87	$1,243.44
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $606.38 / $1,162.61 / $2,424.96	Facility	50	$606.38	$1,162.61	$2,424.96
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $80.84 / $155.02 / $323.33	Facility	80	$80.84	$155.02	$323.33
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $56.60 / $108.51 / $226.33	Facility	AS	$56.60	$108.51	$226.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $775.08 / $775.08 / $1,698.68	Professional		$775.08	$775.08	$1,698.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $587.00 / $1,024.57 / $1,256.30	Professional		$587.00	$1,024.57	$1,256.30
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 $495.88 / $780.75 / $1,727.40	Professional		$495.88	$780.75	$1,727.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,470.04 / $8,723.79 / $26,542.00	Facility		$2,470.04	$8,723.79	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $146.26 / $826.90 / $826.90	Facility	AS	$146.26	$826.90	$826.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,694.80 / $5,710.43 / $5,710.43	Professional		$4,694.80	$5,710.43	$5,710.43