Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.60 / $3,100.75 / $7,993.00	Facility		$455.60	$3,100.75	$7,993.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $740.49 / $3,051.22 / $6,058.05	Facility	50	$740.49	$3,051.22	$6,058.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.33 / $309.88 / $730.17	Professional		$259.33	$309.88	$730.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $197.78 / $334.64 / $681.34	Professional	50	$197.78	$334.64	$681.34
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $413.65 / $413.65 / $413.65	Professional	50	$413.65	$413.65	$413.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.11 / $563.86 / $875.26	Professional		$350.11	$563.86	$875.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.30 / $500.53 / $805.94	Professional		$342.30	$500.53	$805.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $259.33 / $483.62 / $695.94	Facility		$259.33	$483.62	$695.94
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $375.29 / $870.21 / $1,043.91	Facility	50	$375.29	$870.21	$1,043.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $411.21 / $411.21 / $655.92	Professional		$411.21	$411.21	$655.92
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $616.82 / $616.82 / $616.82	Professional	50	$616.82	$616.82	$616.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $18,128.30 / $18,128.30 / $18,128.30	Facility		$18,128.30	$18,128.30	$18,128.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $562.29 / $677.60	Professional		$5.00	$562.29	$677.60
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 $274.64 / $406.52 / $743.58	Professional		$274.64	$406.52	$743.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,460.94 / $13,759.35 / $26,542.00	Facility		$1,460.94	$13,759.35	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,305.00 / $5,305.00 / $5,305.00	Professional		$5,305.00	$5,305.00	$5,305.00