Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.68 / $1,399.35 / $8,646.29	Facility		$291.68	$1,399.35	$8,646.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,041.29 / $9,041.29 / $9,041.29	Facility	50	$9,041.29	$9,041.29	$9,041.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.59 / $696.55 / $1,994.49	Professional		$227.59	$696.55	$1,994.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,201.85 / $1,201.85 / $1,201.85	Professional		$1,201.85	$1,201.85	$1,201.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.82 / $884.27 / $3,395.70	Professional		$408.82	$884.27	$3,395.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $397.55 / $397.55	Facility		$397.55	$397.55	$397.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.69 / $812.91 / $3,076.46	Professional		$291.69	$812.91	$3,076.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.80 / $698.28 / $2,321.69	Facility		$251.80	$698.28	$2,321.69
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $586.50 / $850.10 / $3,672.92	Facility	50	$586.50	$850.10	$3,672.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,515.00 / $1,629.00 / $1,629.00	Professional		$1,515.00	$1,629.00	$1,629.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $320.49 / $1,462.70 / $2,036.72	Professional		$320.49	$1,462.70	$2,036.72
United Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $874.00 / $2,074.00	Facility		$116.00	$874.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,171.46 / $1,778.35 / $3,441.79	Professional		$1,171.46	$1,778.35	$3,441.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,182.75 / $2,182.75 / $8,980.00	Facility		$2,182.75	$2,182.75	$8,980.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,432.21 / $8,438.87 / $9,989.85	Professional		$4,432.21	$8,438.87	$9,989.85