Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.44 / $1,558.15 / $8,442.00	Facility		$655.44	$1,558.15	$8,442.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,935.76 / $5,476.35 / $5,604.71	Facility	50	$4,935.76	$5,476.35	$5,604.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.50 / $769.35 / $1,587.11	Professional		$613.50	$769.35	$1,587.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $566.90 / $2,372.76 / $3,488.69	Professional	50	$566.90	$2,372.76	$3,488.69
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,046.78 / $1,046.78 / $1,046.78	Professional	50	$1,046.78	$1,046.78	$1,046.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.44 / $1,299.26 / $2,040.88	Professional		$903.44	$1,299.26	$2,040.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $777.72 / $1,175.05 / $2,039.50	Professional		$777.72	$1,175.05	$2,039.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $655.44 / $989.27 / $1,730.39	Facility		$655.44	$989.27	$1,730.39
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,279.50 / $1,515.89 / $3,064.69	Facility	50	$1,279.50	$1,515.89	$3,064.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,010.59 / $1,010.59 / $2,092.96	Professional		$1,010.59	$1,010.59	$2,092.96
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,515.89 / $1,515.89 / $1,515.89	Professional	50	$1,515.89	$1,515.89	$1,515.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $952.82 / $1,196.80 / $1,843.30	Professional		$952.82	$1,196.80	$1,843.30
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 $790.14 / $1,068.44 / $2,186.76	Professional		$790.14	$1,068.44	$2,186.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,645.50 / $4,645.50 / $26,542.00	Facility		$4,645.50	$4,645.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,882.72 / $5,999.28 / $7,101.53	Professional		$4,882.72	$5,999.28	$7,101.53