Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.47 / $1,245.00 / $7,278.00	Facility		$144.47	$1,245.00	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $941.23 / $1,714.30	Professional		$144.47	$941.23	$1,714.30
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $2,119.98 / $2,119.98 / $2,119.98	Professional	50	$2,119.98	$2,119.98	$2,119.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.69 / $1,666.17 / $2,786.45	Professional		$243.69	$1,666.17	$2,786.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.51 / $1,202.13 / $2,153.17	Professional		$189.51	$1,202.13	$2,153.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.47 / $941.23 / $1,682.98	Facility		$144.47	$941.23	$1,682.98
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $428.02 / $2,053.42 / $3,405.54	Facility	50	$428.02	$2,053.42	$3,405.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,368.95 / $1,368.95 / $2,518.37	Professional		$1,368.95	$1,368.95	$2,518.37
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,053.42 / $2,053.42 / $2,053.42	Professional	50	$2,053.42	$2,053.42	$2,053.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $446.10 / $2,687.60	Professional		$6.00	$446.10	$2,687.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $961.70 / $1,327.15 / $2,638.91	Professional		$961.70	$1,327.15	$2,638.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,643.33 / $1,643.33	Facility		$55.00	$1,643.33	$1,643.33
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,350.92 / $6,419.20 / $7,584.00	Professional		$3,350.92	$6,419.20	$7,584.00