Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.70 / $4,080.21 / $9,325.93	Facility		$464.70	$4,080.21	$9,325.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,213.99 / $4,213.99 / $4,213.99	Facility	50	$4,213.99	$4,213.99	$4,213.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $521.08 / $1,877.00	Professional		$300.18	$521.08	$1,877.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.02 / $401.28 / $408.58	Professional		$346.02	$401.28	$408.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.77 / $676.99 / $1,255.20	Professional		$352.77	$676.99	$1,255.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.20 / $608.04 / $1,145.48	Professional		$394.20	$608.04	$1,145.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $373.99 / $553.66 / $882.62	Facility		$373.99	$553.66	$882.62
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $793.50 / $1,148.96 / $1,493.05	Facility	50	$793.50	$1,148.96	$1,493.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $548.52 / $673.00 / $696.00	Professional		$548.52	$673.00	$696.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,119.99 / $4,119.99 / $4,119.99	Facility		$4,119.99	$4,119.99	$4,119.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $590.71 / $712.00 / $868.87	Professional		$590.71	$712.00	$868.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.50 / $614.54 / $1,305.13	Professional		$434.50	$614.54	$1,305.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,809.40 / $2,001.70 / $26,542.00	Facility		$1,809.40	$2,001.70	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $3,920.24 / $4,527.45	Professional		$2,880.00	$3,920.24	$4,527.45