Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.52 / $6,458.63 / $9,300.08	Facility		$770.52	$6,458.63	$9,300.08
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,520.21 / $7,337.86 / $7,615.84	Facility	50	$5,520.21	$7,337.86	$7,615.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.34 / $542.97 / $1,208.89	Professional		$468.34	$542.97	$1,208.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $486.36 / $700.55 / $725.87	Professional		$486.36	$700.55	$725.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,297.06 / $2,297.06 / $2,330.58	Facility		$2,297.06	$2,297.06	$2,330.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.71 / $799.98 / $1,360.49	Professional		$537.71	$799.98	$1,360.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,438.74 / $1,438.74 / $1,591.30	Facility		$1,438.74	$1,438.74	$1,591.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.57 / $702.72 / $1,275.04	Professional		$521.57	$702.72	$1,275.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $499.54 / $649.40 / $1,002.12	Facility		$499.54	$649.40	$1,002.12
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $913.80 / $1,093.50 / $1,768.37	Facility	50	$913.80	$1,093.50	$1,768.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $609.20 / $636.00 / $1,592.00	Professional		$609.20	$636.00	$1,592.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,186.31 / $2,186.31 / $2,186.31	Facility		$2,186.31	$2,186.31	$2,186.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $687.70 / $789.03 / $863.69	Professional		$687.70	$789.03	$863.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.91 / $618.91 / $1,187.10	Professional		$436.91	$618.91	$1,187.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,943.56 / $5,350.00 / $26,542.00	Facility		$1,943.56	$5,350.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,773.76 / $3,773.76 / $4,470.75	Professional		$3,773.76	$3,773.76	$4,470.75