Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.00 / $5,229.80 / $7,993.00	Facility		$1,338.00	$5,229.80	$7,993.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,500.08 / $8,311.51 / $9,576.00	Facility	50	$3,500.08	$8,311.51	$9,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.81 / $958.13 / $3,314.46	Professional		$347.81	$958.13	$3,314.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.47 / $818.84 / $8,503.28	Professional	50	$234.47	$818.84	$8,503.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $221.32 / $326.00	Professional		$160.63	$221.32	$326.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $240.96 / $431.90 / $863.81	Professional	50	$240.96	$431.90	$863.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.14 / $2,615.52 / $4,570.63	Professional		$677.14	$2,615.52	$4,570.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.90 / $621.90 / $621.90	Facility		$621.90	$621.90	$621.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.57 / $1,447.11 / $4,525.60	Professional		$436.57	$1,447.11	$4,525.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $348.44 / $2,106.48 / $3,429.41	Facility		$348.44	$2,106.48	$3,429.41
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,134.53 / $3,420.69 / $5,701.47	Facility	50	$1,134.53	$3,420.69	$5,701.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,232.00 / $2,232.00 / $2,824.82	Professional		$2,232.00	$2,232.00	$2,824.82
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $3,420.69 / $3,420.69 / $10,570.74	Professional	50	$3,420.69	$3,420.69	$10,570.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $459.90 / $839.55 / $4,268.63	Professional		$459.90	$839.55	$4,268.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,606.00 / $14,893.00 / $22,265.00	Facility		$2,606.00	$14,893.00	$22,265.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,789.89 / $2,741.14 / $5,159.66	Professional		$1,789.89	$2,741.14	$5,159.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,661.25 / $3,661.25	Facility		$55.00	$3,661.25	$3,661.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,434.39 / $13,942.64 / $16,708.28	Professional		$7,434.39	$13,942.64	$16,708.28