Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.50 / $1,507.98 / $7,443.67	Facility		$293.50	$1,507.98	$7,443.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.38 / $836.61 / $1,596.23	Professional		$245.38	$836.61	$1,596.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $354.81 / $354.81	Professional	50	$354.81	$354.81	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.44 / $252.52 / $1,499.21	Professional		$106.44	$252.52	$1,499.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.92 / $845.73 / $3,024.62	Professional		$448.92	$845.73	$3,024.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $424.16 / $424.16	Facility		$424.16	$424.16	$424.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.25 / $771.39 / $2,235.35	Professional		$316.25	$771.39	$2,235.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.92 / $711.12 / $1,966.03	Facility		$269.92	$711.12	$1,966.03
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $655.50 / $936.00 / $2,990.69	Facility	50	$655.50	$936.00	$2,990.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,016.00 / $1,030.00 / $1,548.50	Professional		$1,016.00	$1,030.00	$1,548.50
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $655.50 / $2,322.75 / $4,618.09	Professional	50	$655.50	$2,322.75	$4,618.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $347.39 / $1,145.31 / $1,725.30	Professional		$347.39	$1,145.31	$1,725.30
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 $830.67 / $1,495.21 / $2,247.87	Professional		$830.67	$1,495.21	$2,247.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,657.92 / $1,657.92 / $8,980.00	Facility		$1,657.92	$1,657.92	$8,980.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,032.60 / $7,523.96 / $7,523.96	Professional		$3,032.60	$7,523.96	$7,523.96